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NPI Code Detail

MEDICARE: DR. DIANA D. BANKS M.D.

MEDICARE: DR. DIANA D. BANKS M.D.
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
12084N0400XNeurology Physician181340-1205UT

General Provider Information

NPI Number : 1174543060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA D. BANKS M.D.
Provider Business Mailing Address
First Line : 370 E 9TH AVE STE 106
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-3182
Country : US
Telephone Number : 801-408-5700
Fax Number : 801-408-5704
Provider Business Practice Location Address
First Line : 370 E 9TH AVE STE 106
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-3182
Country : US
Telephone Number : 801-408-5700
Fax Number : 801-408-5704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/21/2021

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Directions to “ DR. DIANA D. BANKS M.D.” Practice Location

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