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
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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