Individual
MICHAEL T BANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 CAMINO REAL, SANDIA PARK, NM 87047-9656
(714) 348-9260
Mailing address
37 CAMINO REAL, SANDIA PARK, NM 87047-9656
(714) 348-9260
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G022668
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2012-0684
NM
Other
Enumeration date
03/30/2006
Last updated
09/16/2012
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