BANNER UNIVERSITY MEDICAL GROUP PEDIATRIC SLEEP, LLC

PHOENIX, AZ
NPI1033709357
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date2021-01-20
Last Update Date2021-12-28
Business Address
BANNER UNIVERSITY MEDICAL GROUP PEDIATRIC SLEEP, LLC
755 E MCDOWELL RD ANNEX BLDG
PHOENIX, AZ 85006-2502
Phone number: 602-521-3501
Mailing Address
BANNER UNIVERSITY MEDICAL GROUP PEDIATRIC SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: