Individual
DR. LARRY LOUIS BANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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