Individual
ARCHANA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
157 N CORONADO DR, #C, SIERRA VISTA, AZ 85635-6360
(520) 458-4335
(520) 458-2988
Mailing address
157 N CORONADO DR, #C, SIERRA VISTA, AZ 85635-6360
(520) 458-4335
(520) 458-2988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18964
MS
207R00000X
Internal Medicine Physician
Primary
35263
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098186
—
AZ
Enumeration date
03/15/2006
Last updated
11/13/2012
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