Individual
PETE BANCHUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
474 N HIGHWAY 89, CHINO VALLEY, AZ 86323-5993
(928) 636-5680
(928) 636-5853
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59230
AZ
207Q00000X
Family Medicine Physician
TL0006259
CO
Other
Enumeration date
06/06/2016
Last updated
01/31/2025
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