| Doctor Name: | JOHN BANJOFF |
| NPI Number: | 1073978557 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.T.(R)(CT) |
| License Number: | 361812 |
| Business Practice Address: | 39535 Butternut Ridge Rd Elyria, OH - 440358356 |
| Business Phone Number: | 4408229899 |
| Business Fax Number: | |
| Mailing Address: | 39535 Butternut Ridge Rd, ELYRIA |
| State: | OH |
| Postal Code: | 440358356 |
| Phone Number: | 4408229899 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2015 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3401X |
| License Number: | 361812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Computed Tomography |
| Taxonomy Definition: | |