BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC

GLENDALE, AZ
NPI1346062205
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO Bmg
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-10-30
Last Update Date2024-10-30
Business Address
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304-1256
Phone number: 602-865-4510
Mailing Address
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
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