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1710234703
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
PAGE, AZ
NPI
1710234703
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2012-08-08
Last Update Date
2021-12-30
Business Address
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
601 N NAVAJO
PAGE, AZ 86040
Phone number: 928-645-0740
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Mailing Address
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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