NPI
Rosalie E Banasiak
NPI 1174648323
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-03-20
- Last updated
- 2011-09-27
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Specialties
Licenses
- License AZ
- 15037
Location
- Practice location
- 12808 North Black Canyon Highway
- City
- Phoenix AZ
- Postal code
- 85029
- Phone
- (602) 375-1155
- Fax
- (602) 866-9169
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Preventive Medicine, Occupational Medicine providers in Phoenix, AZ. 23 with this primary taxonomy in the public file.
Other NPIs in Phoenix, AZ. 44,026 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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