BANNER - UNIVERSITY SUPER SPECIALISTS LLC

PHOENIX, AZ
NPI1740650555
Entity TypeOrganization
Authorized ContactVENKATA EVANI
Bumg CEO
602-521-5935
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2015-10-06
Last Update Date2023-03-17
Business Address
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-2000
Mailing Address
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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