Individual
DR. JEFFREY RICHARD BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4540 E BASELINE RD STE 106, MESA, AZ 85206-4616
(480) 633-6837
(480) 393-0928
Mailing address
PO BOX 2055, MESA, AZ 85214
(480) 633-6837
(480) 393-0928
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5396
AZ
Other
Enumeration date
11/27/2006
Last updated
04/13/2011
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