Banner Physician Specialists Arizona LLC
NPI #1679842223 in Sun City West, Arizona
Provider Information
- NPI Number
- 1679842223
- 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 28, 2021
Practice Location
- Address
- 14420 W MEEKER BLVD
- Address 2
- STE 104
- City
- Sun City West
- State
- Arizona
- ZIP Code
- 85375-5286
- Phone
- (623) 583-5300
Authorized Official
- Name
- DENNIS LARAWAY
- Title
- CFO
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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