Banner Physician Specialists Arizona LLC
Durable Medical Equipment & Medical Supplies in Peoria, AZ. Organization (NPI-2).
NPI number1275802829
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1275802829
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Physician Specialists Arizona LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 27, 2011
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
13760 N 93rd AvePeoria, AZ 85381-4201
Phone 623-876-3800
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Authorized official
Dennis Laraway
Cfo
6027474000
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All 30 Durable Medical Equipment & Medical Supplies providers in Peoria · All 3,876 providers in Peoria
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