Banner Health

NPI #1396156139 in Peoria, Arizona

Provider Information

NPI Number
1396156139
Entity Type
Organization
Organization Name
Banner Health
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 14, 2014
Last Updated
Jan 31, 2022

Practice Location

Address
13640 N PLAZA DEL RIO BLVD
Address 2
3RD FLOOR, SUITE 350
City
Peoria
State
Arizona
ZIP Code
85381-4846
Phone
(623) 583-5044

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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