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Banner Physician Specialists Arizona Llc
Multi-Specialty Clinic/Center in Page, Arizona
NPI 1366799355

Banner Physician Specialists Arizona Llc is a Multi-Specialty Clinic/Center based in Phoenix, AZ and is specialized in Multi-Specialty. Banner Physician Specialists Arizona Llc practices in Page, AZ. The NPI Number for Banner Physician Specialists Arizona Llc is 1366799355 and holds a License No. (Arizona).

The current practice location address for Banner Physician Specialists Arizona Llc is 601 N Navajo, Page, AZ and can be reached out via phone at 928-645-0131 and via fax at 928-645-3549.

Location: 601 N Navajo, Page, AZ, 85012-2702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366799355
Provider Name
Banner Physician Specialists Arizona Llc
Credential
Provider Entity Type
Organization
Address
601 N Navajo, Page, AZ, 85012-2702
Phone Number
928-645-0131
Fax Number
928-645-3549
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
646505 05 AZ
institution
Provider Business Practice Location Address Details
Address
601 N Navajo
City
Page
State
Arizona
Zip
86040
Phone Number
928-645-0131
Fax Number
928-645-3549
person
Provider Business Mailing Address Details
Address
601 N Navajo
City
Page
State
Arizona
Zip
86040
Phone Number
928-645-0131
Fax Number
928-645-3549
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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