BANNER -- UNIVERSITY MEDICAL GROUP NPI 1932708328

NPI Information

NPI: 1932708328
Provider Name: BANNER -- UNIVERSITY MEDICAL GROUP
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

CLIA Number: 03D0936905

Address:
535 N WILMOT RD STE 101
TUCSON, AZ
ZIP 85711
Phone: (520) 694-5437
Get Directions

BANNER -- UNIVERSITY MEDICAL GROUP is a nutrition and education nutritionist in Tucson, AZ. BANNER -- UNIVERSITY MEDICAL GROUP NPI is 1932708328. The provider is registered as an organization entity type.

The provider's business location address is:

535 N WILMOT RD STE 101
TUCSON, AZ
ZIP 85711-683
Phone: (520) 694-5437
Fax: (520) 874-4751

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 CLIA number assigned to this NPI record is 03D0936905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2020 and was last updated on 10/18/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	133NN1002X	Nutritionist	Nutrition, Education			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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