MEDICARE: JOEY MICHELE BANKS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	12588	MT
2	207Q00000X	Family Medicine Physician	161340	IL
3	207Q00000X	Family Medicine Physician	0903	NM

General Provider Information

NPI Number	:	1528096146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEY MICHELE BANKS MD

Provider Business Mailing Address
First Line	:	121 HICKORY ST STE 4
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-1896
Country	:	US
Telephone Number	:	406-541-2012
Fax Number	:	406-296-4320

Provider Business Practice Location Address
First Line	:	121 HICKORY ST STE 4
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-1896
Country	:	US
Telephone Number	:	406-541-2012
Fax Number	:	406-296-4320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	03/16/2026

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Directions to “ JOEY MICHELE BANKS MD” Practice Location

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