Banner Physician Specialists Arizona LLC
NPI #1366799355 in Page, Arizona
Provider Information
- NPI Number
- 1366799355
- Entity Type
- Organization
- Organization Name
- Banner Physician Specialists Arizona LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP ARIZONA
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 8, 2012
- Last Updated
- Dec 29, 2021
Practice Location
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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