| Banner Executive Health Llc | |
|
4200 E Camelback Rd # 102 Phoenix AZ 85018-2718 | |
| (602) 229-2128 | |
| Not Available |
| Full Name | Banner Executive Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4200 E Camelback Rd # 102, Phoenix, Arizona |
| Authorized Official Name and Position | James Cote (VP, AMBULATORY SERVICES) |
| Authorized Official Contact | 6027477203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Executive Health Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Executive Health Llc 4200 E Camelback Rd # 102 Phoenix AZ 85018-2718 Ph: (602) 229-2128 |
| NPI Number | 1447956107 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447956107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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