Banner Physician Specialists Arizona LLC

NPI #1275802829 in Peoria, Arizona

Provider Information

NPI Number: 1275802829
Entity Type: Organization
Organization Name: Banner Physician Specialists Arizona LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BANNER MEDICAL GROUP
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 27, 2011
Last Updated: Dec 29, 2021

Practice Location

Address: 13760 N 93RD AVE
City: Peoria
State: Arizona
ZIP Code: 85381-4201
Phone: (623) 876-3800

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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