Individual
BAYNAZIER ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201
(623) 583-3001
(623) 583-3007
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 583-3007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47187
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829949
—
AZ
Enumeration date
06/26/2007
Last updated
02/01/2019
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