IndividualActive
Rosalie Banasiak, MD
NPI 1174648323 · Occupational Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1174648323
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 15037 (AZ)
Practice location
12808 North Black Canyon Highway
Phoenix, AZ 85029
Phone: (602) 375-1155
Fax: (602) 866-9169
Mailing address
12808 North Black Canyon Highway
Phoenix, AZ 85029
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2011-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.