Banner Physician Specialists Arizona LLC
Banner Physician Specialists Arizona LLC is a Multi-Specialty Clinic/Center in Page, Arizona. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
601 N NavajoPage, AZ 86040
Phone: (928) 645-0131
Fax: (928) 645-3549
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1366799355 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Medical Group Arizona |
| Authorized official | Dennis Laraway — Cfo · (602) 747-4000 |
| NPI enumerated | August 8, 2012 |
| Last updated in NPPES | December 29, 2021 |
| Certification date | December 29, 2021 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702 |
Other providers in Page
-
Banner Hospital Based Physicians Arizona LLC
501 N Navajo Mailing Po Box 1447 Page 86040-1447, Page, AZ 86040 · (928) 645-0112
-
Banner Primary Care Physicians Arizona LLC
601 N Navajo, Page, AZ 86040 · (928) 645-0740