NPI 1336929488
Bol Gach Pan
Practice location
- Address
- 9250 N 75th Ave Lot 48, Peoria, AZ 85345-6634
- Phone
- (602) 481-0911
- Mailing address
- 8050 N 19th Ave # 101, Phoenix, AZ 85021-5101
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1336929488
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Oct 2023
- Record last updated
- 4 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.