Banner Primary Care Physicians Arizona LLC

NPI #1124467600 in Buckeye, Arizona

Provider Information

NPI Number
1124467600
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
Jun 18, 2013
Last Updated
Dec 27, 2021

Practice Location

Address
20751 W MARKET ST
State
Arizona
ZIP Code
85396-7893
Phone
(623) 463-5140

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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