BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC

CASA GRANDE, AZ
NPI1104416429
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 Date2021-12-30
Business Address
BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
1828 E FLORENCE BLVD BLDG C STE 136
CASA GRANDE, AZ 85122
Phone number: 520-381-6282
Mailing Address
BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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