Organization
DAN BANGART PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BANGART (PRESIDENT)
(623) 974-0522
Entity
Organization
Contact information
Practice address
13660 N 94TH DRIVE, SUITE F-1, PEORIA, AZ 85381-4323
(623) 974-0522
Mailing address
13660 N 94TH DRIVE, SUITE F-1, PEORIA, AZ 85381-4323
(623) 974-0522
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0345
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186206
AHCCCS
AZ
01
—
480026137
MEDICARE RAILROAD
—
01
—
AZ0190790
BCBS
AZ
Enumeration date
01/28/2008
Last updated
03/19/2010
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