Individual
DR. JUAN CARLOS GEA BANACLOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
53682
AZ
207RI0200X
Infectious Disease Physician
D0069383
MD
207RI0200X
Infectious Disease Physician
Primary
MD044366
DC
Other
Enumeration date
08/14/2014
Last updated
06/11/2025
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