| Banner Telehealth Llc | |
|
1625 N Campbell Ave Tucson AZ 85719-4330 | |
| (520) 694-0111 | |
| (520) 694-4805 |
| Full Name | Banner Telehealth Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1625 N Campbell Ave, Tucson, Arizona |
| Authorized Official Name and Position | Todd Werner (DIVISION PRESIDENT) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Telehealth Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Telehealth Llc 1625 N Campbell Ave Tucson AZ 85719-4330 Ph: (520) 694-0111 |
| NPI Number | 1386352714 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386352714 | NPI | - | NPPES |
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