| Banner - University Hospital Based Physicians Llc | |
|
37000 N Gantzel Rd San Tan Valley AZ 85140-7303 | |
| (480) 394-4030 | |
| (480) 394-4571 |
| Full Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 37000 N Gantzel Rd, San Tan Valley, 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 - University Hospital Based Physicians Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner - University Hospital Based Physicians Llc 37000 N Gantzel Rd San Tan Valley AZ 85140-7303 Ph: (480) 394-4030 |
| NPI Number | 1760857429 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760857429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
My Dr Now Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 888-316-1686 | |
O.serrano, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-461-1135 Fax: 480-461-1138 | |
Intensive Treatment Systems, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 855-245-6350 | |
Banner Hospital Based Physicians Arizona Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37000 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-543-2034 | |
Banner Physician Super Specialists Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, Ste 113, San Tan Valley, AZ 85140 Phone: 480-412-9400 | |
Azmed4u Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 E Hunt Hwy Ste 16-189, San Tan Valley, AZ 85143 Phone: 480-349-7169 Fax: 480-546-3765 | |
San Tan Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-351-7277 Fax: 480-219-5457 |