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1033709357
BANNER UNIVERSITY MEDICAL GROUP PEDIATRIC SLEEP, LLC
PHOENIX, AZ
NPI
1033709357
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date
2021-01-20
Last Update Date
2021-12-28
Business Address
BANNER UNIVERSITY MEDICAL GROUP PEDIATRIC SLEEP, LLC
755 E MCDOWELL RD ANNEX BLDG
PHOENIX, AZ 85006-2502
Phone number: 602-521-3501
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Mailing Address
BANNER UNIVERSITY MEDICAL GROUP PEDIATRIC SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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