| NPI | 1326476813 |
|---|---|
| Doing Business As | BANNER HEALTH CLINIC-32ND ST INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 20737) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2022-01-31 |