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1558951863
BANNER MEDICAL GROUP ADULT SLEEP, LLC
MESA, AZ
NPI
1558951863
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date
2021-01-20
Last Update Date
2021-12-28
Business Address
BANNER MEDICAL GROUP ADULT SLEEP, LLC
2225 W SOUTHERN AVE BLDG 1400
MESA, AZ 85202-4716
Phone number: 480-412-3612
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Mailing Address
BANNER MEDICAL GROUP ADULT SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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