Banner Physician Specialists Arizona LLC
Banner Physician Specialists Arizona LLC is a Nutrition Education Nutritionist in Peoria, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9165 W Thunderbird RdPeoria, AZ 85381-4847
Phone: (623) 285-1120
Fax: (623) 285-2626
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutrition Education Nutritionist (primary) | Taxonomy 133NN1002X |
|---|---|
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1750929949 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Health |
| Authorized official | Dennis Laraway — Cfo · (602) 747-4000 |
| NPI enumerated | December 18, 2019 |
| Last updated in NPPES | December 18, 2019 |
| Certification date | December 18, 2019 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702 |
Other providers in Peoria
-
Banner Physician Specialists Arizona LLC
9165 W Thunderbird Rd, Peoria, AZ 85381-4847 · (623) 285-1120
-
David Medansky
11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 · (602) 721-5218
-
Melody Oaks, CN
21731 N 86th Ln, Peoria, AZ 85382-2497 · (602) 469-3645