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Banner Physician Specialists Arizona LLC

Durable Medical Equipment & Medical Supplies in Peoria, AZ. Organization (NPI-2).

NPI number1992073498
StatusActive
Last updated in NPPESOct 3, 2025

Details

NPI
1992073498
Entity type
Organization (NPI-2)
Legal business name
Banner Physician Specialists Arizona LLC
Organization subpart
Yes
Enumeration date
Dec 12, 2011
Certification date
Oct 3, 2025
Last updated
Oct 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846

Phone 623-876-3800

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Phone 602-747-4000

Authorized official

Shiva Birdi
Ceo
6027474000

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