BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC

MESA, AZ
NPI1386462810
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO Bmg
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-10-02
Last Update Date2024-10-30
Business Address
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
1432 S DOBSON RD STE 304
MESA, AZ 85202-4773
Phone number: 480-412-7400
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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