BANNER PHYSICIAN SPECIALISTS ARIZONA LLC NPI 1033730429

NPI Information

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC is a multi-specialty clinic center in Page, AZ. BANNER PHYSICIAN SPECIALISTS ARIZONA LLC NPI is 1033730429. The provider is registered as an organization entity type.

The provider's business location address is:

501 N NAVAJO DR
PAGE, AZ
ZIP 86040-959
Phone: (928) 645-2424

The provider's authorized official is Dennis Laraway .
The authorized official title is Chief Financial Officer and has the following contact phone number (602) 747-4000.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 12/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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