Banner Arizona Asc LLC

NPI #1790759355 in Peoria, Arizona

Provider Information

NPI Number
1790759355
Entity Type
Organization
Organization Name
Banner Arizona Asc LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 13, 2006
Last Updated
Sep 7, 2023

Practice Location

Address
13640 N PLAZA DEL RIO BLVD
Address 2
SUITE 135
City
Peoria
State
Arizona
ZIP Code
85381-4846
Phone
(623) 876-3943

Authorized Official

Name
MR. PHILLIP A CLENDENIN
Title
PRESIDENT
Phone
(615) 665-1283

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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