Most Relevant Information
Provider Data
| NPI Number: | 1003808668 |
| Provider Name: | EMMANUEL A BAYONGAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0200X |
| Specialty: | Internal Medicine |
| License Number: | E3687 |
Most Important Dates
| Enumeration Date: | 08/19/2005 |
| Last Updated: | 10/04/2012 |
Provider Practice Location
1400 S DOBSON RD
MESA
AZ
852024707
Practice Location Phone/Fax
| Phone: | 4805432034 |
| Fax: | 4805126089 |
Provider Mailing Location
2145 W SOUTHERN AVE # 264
MESA
AZ
852024715
Provider Mailing Phone/Fax
| Phone: | 4805432034 |
| Fax: | 4805126089 |