BANNER CANCER CENTER SPECIALISTS LLC NPI 1588158448

NPI Information

BANNER CANCER CENTER SPECIALISTS LLC is an oncology clinic center in Payson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. BANNER CANCER CENTER SPECIALISTS LLC NPI is 1588158448. The provider is registered as an organization entity type.

The provider's business location address is:

122 E MAIN ST
PAYSON, AZ
ZIP 85541-574
Phone: (928) 596-4600
Fax: (928) 596-4620

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 enumeration date for this NPI number is 6/14/2018 and was last updated on 12/23/2021.

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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