Bandy, Gregory L

Bandy, Gregory L is an individual health care provider with primary practice located at 5102 W Campbell Ave , Phoenix AZ 85031-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bandy, Gregory L can be contacted via phone (623) 848-5000.

Contact Information

Primary practice address
5102 W Campbell Ave Phoenix AZ 85031-1703
Phone: (623) 848-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16309 Arizona

Profile Details

NPI number 1356332084
LBN Legal business name Bandy, Gregory L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356332084 NPPES
Arizona Other 39-81220 EVERCARE GROUP
Arizona Other AW1936 EVERCARE GROUP
Arizona MEDICAID 294819 EVERCARE GROUP
Arizona Other AZ0728670 EVERCARE GROUP

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