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Contact Information

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
9165 W THUNDERBIRD RD
PEORIA, AZ85381-4847
 Phone: 623-285-1120
 Fax: 623-285-2626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

NPI Number 1326710906
LBN Legal business name BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Authorized official DENNIS LARAWAY - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/01/2021
Last updated 12/29/2021 - 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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