Individual
GIRIDHARI L BANSAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 S DOBSON RD, STE 205, MESA, AZ 85202-4726
(480) 962-1808
(480) 962-0738
Mailing address
1520 S DOBSON RD, STE 205, MESA, AZ 85202-4726
(480) 962-1808
(480) 962-0738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6703
AZ
Other
Enumeration date
06/08/2005
Last updated
07/08/2007
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