Individual
DR. LARRY LOUIS BANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 E ARIZONA BILTMORE CIR, SUITE C-236, PHOENIX, AZ 85016-2146
(602) 426-9772
(602) 426-9775
Mailing address
1 E CAMELBACK RD, SUITE 700, PHOENIX, AZ 85012-1668
(602) 748-1100
(602) 748-1101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13844
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2975980
CIGNA
AZ
01
—
4060579
AETNA
AZ
01
—
P01373999
RR MEDICARE
AZ
Enumeration date
02/15/2006
Last updated
12/11/2014
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