Organization
PIONEER PET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY BANSAL (MANAGING OWNER)
(480) 775-6500
Entity
Organization
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 775-6500
(480) 775-6600
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 775-6500
(480) 775-6600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7490
AZ
Other
Enumeration date
03/15/2006
Last updated
08/22/2020
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