Banner Hospital Based Physicians Arizona LLC
NPI #1275889891 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1275889891
- Entity Type
- Organization
- Organization Name
- Banner Hospital Based Physicians Arizona LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 1, 2012
- Last Updated
- Dec 23, 2021
Practice Location
- Address
- 37000 N GANTZEL RD
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-7303
- Phone
- (480) 543-2034
Authorized Official
- Name
- DENNIS LARAWAY
- Title
- CFO
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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