BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

QUEEN CREEK, AZ
NPI1477301364
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO/Bmg
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-05-07
Last Update Date2024-09-06
Business Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
37100 N GANTZEL RD STE 107
QUEEN CREEK, AZ 85140-7350
Phone number: 602-747-4000
Mailing Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000