Search › Arizona › 183500000X
Edian Banuelos
NPI 1700402203 · on the registry since 2020
Practice
- Address
- 2435 E Baseline Rd
Phoenix, AZ 85042 - Phone
- (602) 232-2982
- Organisation at this address
- Walmart Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-24
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