Banner Primary Care Physicians Arizona LLC
NPI #1255213518 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1255213518
- Entity Type
- Organization
- Organization Name
- Banner Primary Care Physicians Arizona LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER HEALTH
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 25, 2025
- Last Updated
- Jul 25, 2025
Practice Location
- Address
- 21772 S ELLSWORTH LOOP RD
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85142-7709
- Phone
- (480) 512-3700
Authorized Official
- Name
- SHIVA BIRDI
- Title
- CEO
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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