NPI

Pete Banchuin

NPI 1568811024

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2016-06-06
Last updated
2025-01-31

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Specialties

Licenses

License CO
TL0006259
License AZ
59230

Location

Practice location
474 N Highway 89
City
Chino Valley AZ
Postal code
86323-5993
Phone
(928) 636-5680

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.

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Nearby

Other NPIs in Chino Valley, AZ. 160 records in the public file.

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