Individual
DR. DANIEL L BANGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13660 N 94TH DR, STE F1, PEORIA, AZ 85381-4232
(623) 974-0522
(623) 933-5787
Mailing address
13660 N 94TH DR, STE F1, PEORIA, AZ 85381-4232
(623) 974-0522
(623) 933-5787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
345
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186206
AHCCCS
AZ
01
—
480026137
MEDICARE RAILROAD
AZ
01
—
5059650001
MEDICARE NSC
—
01
—
AZ0190790
BLUE CROSS
AZ
Enumeration date
01/23/2006
Last updated
10/27/2011
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