| NPI | 1285147678 |
|---|---|
| Other Name | BANNER HEALTH CLINIC - PAGE MOBILE |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-12-22 |