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1942058672
BANNER MEDICAL GROUP CARE GAP LLC
PHOENIX, AZ
NPI
1942058672
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Entity Type
Organization
Authorized Contact
SHIVA BIRDI
CEO/Bmg
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
BANNER MEDICAL GROUP CARE GAP LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
Copy
Mailing Address
BANNER MEDICAL GROUP CARE GAP LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
Copy
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