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STEPHEN BANISTER — OIG Excluded Provider (NEVADA CITY, CA, 1128b4)

STEPHEN BANISTER — OIG Excluded Provider (NEVADA CITY, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: STEPHEN BANISTER; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameSTEPHEN BANISTER
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyPAIN MANAGEMENT
NPI1376768416
CityNEVADA CITY
StateCA
ZIP95959
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2024-11-20
SourceHHS-OIG LEIE

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