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1821846726
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
GLENDALE, AZ
NPI
1821846726
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Entity Type
Organization
Authorized Contact
SHIVA BIRDI
CEO/Bmg
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2024-05-07
Last Update Date
2024-09-06
Business Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304-1256
Phone number: 602-747-4000
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Mailing Address
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
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