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1093083503
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
PEORIA, AZ
NPI
1093083503
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2011-12-12
Last Update Date
2021-12-27
Business Address
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381-4846
Phone number: 623-876-3800
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Mailing Address
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
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