BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

SAN TAN VALLEY, AZ
NPI1275889891
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2012-08-01
Last Update Date2021-12-23
Business Address
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
37000 N GANTZEL RD
SAN TAN VALLEY, AZ 85140-7303
Phone number: 480-543-2034
Mailing Address
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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