| NPI | 1205267549 |
|---|---|
| Other Name | BANNER HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2022-01-31 |