BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC NPI 1659640902

NPI Information

NPI: 1659640902
Provider Name: BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2474 E HUNT HWY
SUITE 10
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 543-6680
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BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC is a primary care clinic center in San Tan Valley, AZ. BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC NPI is 1659640902. The provider is registered as an organization entity type.

The provider's business location address is:

2474 E HUNT HWY
SUITE 10
SAN TAN VALLEY, AZ
ZIP 85143-210
Phone: (480) 543-6680

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 12/15/2011 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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