Brian Bantel

NPI 1710430137 · on the registry since 2016

Practice

Address: 9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260
Phone: (480) 992-4996
Fax: (480) 878-3770
Organisation at this address: Pathogendx
Fim Health
Clearminds
Perfectrx Llc
Conquer, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TA0400X
103TB0200X
103TC2200X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-11

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