Jeffrey Richard Banas DC

NPI 1063588739 - Chiropractor - 111NS0005X

NPI Details
NPI 1063588739
Gender Male
Enumeration Date 11/27/2006
Last Updated 04/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4540 E BASELINE RD STE 106
MESA AZ, 85206-4616, US
Phone (480) 633-6837
Fax (480) 393-0928
Business Location
PO BOX 2055
MESA AZ, 85214, US
Phone (480) 633-6837
Fax (480) 393-0928
Toxanomy
Taxonomy Code 111NS0005X
License State Arizona
License Number 5396
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According to our database, Dr. Jeffrey Richard Banas DC NPI is 1063588739, taxonomy code is 111NS0005X and license number is 5396, license state is located at Arizona. Jeffrey Richard Banas DC physically located at 4540 E Baseline Rd Ste 106, Mesa AZ, 85206-4616. NPI Number Jeffrey Richard Banas DC has the Individual type.

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1063588739 NPI number is provided on an as is basis without warranty of any kind. 1063588739 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Richard Banas DC are for informational purposes only.