BANNER MEDICAL GROUP CARE GAP LLC

PHOENIX, AZ
NPI1942058672
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO/Bmg
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
BANNER MEDICAL GROUP CARE GAP LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
Mailing Address
BANNER MEDICAL GROUP CARE GAP LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
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