Banner Arizona Medical Clinic Ltd | |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 | |
(623) 876-3800 | |
(623) 972-9590 |
Full Name | Banner Arizona Medical Clinic Ltd |
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Speciality | Clinic/center - Multi-specialty |
Location | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
Authorized Official Name and Position | Dennis Dahlen (SR VICE PRESIDENT - FINANCE) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Arizona Medical Clinic Ltd 13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 Ph: (623) 876-3800 | Banner Arizona Medical Clinic Ltd 13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 Ph: (623) 876-3800 |
NPI Number | 1750347936 |
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Provider Enumeration Date | 04/25/2006 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750347936 | NPI | - | NPPES |
0516437 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | OTC3936 (Arizona) | Primary |
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