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Contact Information

BANNER HOSPITAL BASED PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ85012-2702
 Phone: 602-747-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BANNER HOSPITAL BASED PHYSICIANS WEST LLC · (Female)

NPI Number 1285495663
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2024
Last updated 01/22/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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