BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC

MESA, AZ
NPI1841573870
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2011-09-26
Last Update Date2021-12-28
Business Address
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
1432 S DOBSON RD
MESA, AZ 85202-4768
Phone number: 480-412-4100
Mailing Address
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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