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San Raban

NPI 1104693191 · on the registry since 2023 · sole proprietor

Practice

Address
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-4734
Organisation at this address
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Gateway Medical Center
Banner Thunderbird Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AS0400X
Sex
Male
Record last updated
2025-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona