BANNER PHYSICIAN SPECIALISTS ARIZONA LLC is a multi-specialty clinic center in San Tan Valley, AZ. BANNER PHYSICIAN SPECIALISTS ARIZONA LLC NPI is 1316228802. The provider is registered as an organization entity type.
The provider's business location address is:
37100 N GANTZEL RD
STE 107
SAN TAN VALLEY, AZ
ZIP 85140-349
Phone: (480) 394-4480
The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.
The CLIA number assigned to this NPI record is 03D2123901 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/29/2011 and was last updated on 12/29/2021.