Banner Arizona Medical Clinic Ltd
Durable Medical Equipment & Medical Supplies in Peoria, AZ. Organization (NPI-2).
NPI number1487785002
StatusActive
Last updated in NPPESSep 19, 2008
Details
- NPI
- 1487785002
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Arizona Medical Clinic Ltd
- Organization subpart
- Yes
- Enumeration date
- Mar 7, 2007
- Last updated
- Sep 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | OTC3932 | AZ | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | OTC3932 | AZ |
Practice location
13760 N 93rd AvePeoria, AZ 85381-4201
Phone 623-876-3952 · Fax 623-876-3975
Mailing address
13640 N Plaza Del Rio BlvdPeoria, AZ 85381-4846
Phone 623-876-3800
Authorized official
Margaret Burke
Chief Financial Officer
6238763967
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All 30 Durable Medical Equipment & Medical Supplies providers in Peoria · All 3,876 providers in Peoria
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