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 |