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1275802829
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
PEORIA, AZ
NPI
1275802829
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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
2011-12-27
Last Update Date
2021-12-29
Business Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
13760 N 93RD AVE
PEORIA, AZ 85381-4201
Phone number: 623-876-3800
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Mailing Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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