| NPI | 1154088490 |
|---|---|
| Doing Business As | BANNER SURGERY CENTER - SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ARIC BURKE Director/Officer 480-689-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2023-08-16 |