# NEPTUNE MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336787894
- **Authorized official:** DR. DANIEL L BANGART DPM (PROVIDER)
- **Authorized official phone:** (602) 595-7228

## Contact information

- **Practice address:** 13660 N 94TH DR \# D-1, PEORIA, AZ 85381-4836
- **Practice address phone:** (623) 230-2912
- **Mailing address:** 13660 N 94TH DR, PEORIA, AZ 85381-4836
- **Mailing address phone:** (623) 230-2912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2019
- **Last updated:** 02/10/2020