BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC

MESA, AZ
NPI1528658838
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date2021-01-20
Last Update Date2021-12-30
Business Address
BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
2225 W SOUTHERN AVE BLDG 1400
MESA, AZ 85202-4716
Phone number: 480-412-3612
Mailing Address
BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: