Banner Cancer Center Specialists LLC

NPI #1588158448 in Payson, Arizona

Provider Information

NPI Number
1588158448
Entity Type
Organization
Organization Name
Banner Cancer Center Specialists LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP
Primary Specialty
Clinic/Center - Oncology
Enumeration Date
Jun 14, 2018
Last Updated
Mar 6, 2025

Practice Location

Address
807 S PONDEROSA ST
City
Payson
State
Arizona
ZIP Code
85541-5542
Phone
(928) 471-3222

Authorized Official

Name
SHIVA BIRDI
Title
CEO
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - OncologyOncology

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