Banner Primary Care Physicians Arizona LLC

NPI #1093083503 in Peoria, Arizona

Provider Information

NPI Number
1093083503
Entity Type
Organization
Organization Name
Banner Primary Care Physicians Arizona LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 12, 2011
Last Updated
Dec 27, 2021

Practice Location

Address
13640 N PLAZA DEL RIO BLVD
City
Peoria
State
Arizona
ZIP Code
85381-4846
Phone
(623) 876-3800

Authorized Official

Name
DENNIS LARAWAY
Title
CFO
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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