BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

PEORIA, AZ
NPI1326710906
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
Chief Financial Officer
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy133NN1002X Nutritionist, Nutrition, Education
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-10-01
Last Update Date2021-12-29
Business Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
9165 W THUNDERBIRD RD
PEORIA, AZ 85381-4847
Phone number: 623-285-1120
Mailing Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: