BANNER MEDICAL GROUP ADULT SLEEP, LLC

CASA GRANDE, AZ
NPI1750971073
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 Date2021-12-28
Business Address
BANNER MEDICAL GROUP ADULT SLEEP, LLC
1828 E FLORENCE BLVD BLDG C STE 136
CASA GRANDE, AZ 85122-4783
Phone number: 520-381-6282
Mailing Address
BANNER MEDICAL GROUP ADULT SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: