BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

PAGE, AZ
NPI1366799355
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2012-08-08
Last Update Date2021-12-29
Business Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
601 N NAVAJO
PAGE, AZ 86040
Phone number: 928-645-0131
Mailing Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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