| NPI | 1922622513 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHIVA BIRDI CEO, Banner Medical Group 480-256-3336  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery | 
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-05-30 | 
| Last Update Date | 2023-07-27 |