BANNER PHYSICIAN SPECIALISTS ARIZONA LLC; NPI #1164150363

Contact Information

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

7701 W ASPERA BLVD STES 102, 201, 301
GLENDALE, AZ 85308-7935

Phone: 623-248-2100
Fax: 623-707-4809
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nutrition, Education	133NN1002X
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

NPI #	`1164150363`
LBN Legal business name	BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Authorized official	SHIVA BIRDI - (CEO/BMG)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	08/15/2022
Last updated	08/15/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Contact Information

Specialty

Nutrition, Education

Multi-Specialty

NPI Profile & details for BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Reviews for BANNER PHYSICIAN SPECIALISTS ARIZONA LLC