BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

PAGE, AZ
NPI1316294242
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2012-08-09
Last Update Date2021-12-23
Business Address
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
501 N NAVAJO
PAGE, AZ 86040
Phone number: 928-645-0112
Mailing Address
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: