BANNER URGENT CARE ARIZONA LLC is an urgent care facility/clinic in LAKESIDE, AZ. The EXECUTIVE DIRECTOR of BANNER URGENT CARE ARIZONA LLC is BRIAN STANDAGE. Their NPI profile information was initially created about 7 years ago on Nov 04, 2019.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Urgent Care |
261QU0200X |
| NPI Number | 1831733716 |
| LBN Legal business name | BANNER URGENT CARE ARIZONA LLC |
| Authorized official | BRIAN STANDAGE - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 11/04/2019 |
| Last updated | 06/18/2025 - About 12 months ago |
| Identifiers | n/a |
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