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Individual

PUNEET DABAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3773 CROSSINGS DR STE C, PRESCOTT, AZ 86305-7140
(928) 277-8452
(928) 752-8987
Mailing address
PO BOX 47729, PHOENIX, AZ 85068-7729
(623) 934-5600
(523) 934-5603

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
53444
AZ
2084N0600X
Clinical Neurophysiology Physician
53444
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272968
AZ
Enumeration date
06/30/2013
Last updated
07/21/2022
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