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1003009861
MOUSTAFA BANNA
PEORIA, AZ
NPI
1003009861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: AZ 45263)
Enumeration Date
2007-08-23
Last Update Date
2024-01-11
Business Address
MOUSTAFA BANNA MD
13460 N 94TH DR STE J1
PEORIA, AZ 85381-4246
Phone number: 623-876-8816
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Mailing Address
MOUSTAFA BANNA MD
13460 N 94TH DR STE J1
PEORIA, AZ 85381-4246
Phone number: 623-876-8816
Copy
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