Search › Arizona › 363A00000X
Jason Banuelos, PA
NPI 1699414870 · on the registry since 2022 · sole proprietor
Practice
- Address
- 435 N 5th St
Phoenix, AZ 85004 - Phone
- (602) 827-2450
- Clinicians at this address
- 164
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona