GUSTAVO MIGUEL BANTI

CASA GRANDE, AZ
NPI1710987904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: AZ  47007)
Additional Taxonomies208800000X Urology
(Licence: IL  036063412)
Enumeration Date2005-07-28
Last Update Date2013-10-04
Business Address
-- GUSTAVO MIGUEL BANTI M.D.
1281 E COTTONWOOD LN
CASA GRANDE, AZ 85122-2949
Phone number: 520-876-0150
Mailing Address
-- GUSTAVO MIGUEL BANTI M.D.
2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342
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