Banner Occupational Health - Onsite, LLC
Clinic/Center, Occupational Medicine in Tempe, AZ. Organization (NPI-2).
NPI number1407412331
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1407412331
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Occupational Health - Onsite, LLC
- Organization subpart
- Yes
- Enumeration date
- May 16, 2019
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – | Yes |
Practice location
1621 W Rio Salado Pkwy Bldg DTempe, AZ 85281-2608
Phone 480-872-2466 · Fax 480-872-2470
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Authorized official
Dennis Laroway
Cfo
6027474000
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