| Banner Hospital Based Physicians Arizona Llc | |
|
1900 N Higley Rd Gilbert AZ 85234-1604 | |
| (480) 543-2034 | |
| Not Available |
| Full Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1900 N Higley Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Hospital Based Physicians Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Hospital Based Physicians Arizona Llc 1900 N Higley Rd Gilbert AZ 85234-1604 Ph: (480) 543-2034 |
| NPI Number | 1124374822 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124374822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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