institution
Banner Primary Care Physicians Arizona Llc
Primary Care Clinic/Center in Phoenix, Arizona
NPI 1659640902

Banner Primary Care Physicians Arizona Llc is a Primary Care Clinic/Center based in Phoenix, AZ and is specialized in Primary Care. Banner Primary Care Physicians Arizona Llc practices in Phoenix, AZ. The NPI Number for Banner Primary Care Physicians Arizona Llc is 1659640902 and holds a License No. (Arizona).

The current practice location address for Banner Primary Care Physicians Arizona Llc is 2901 N Central Ave Ste 160, Phoenix, AZ and can be reached out via phone at 602-747-4000.

Location: 2901 N Central Ave Ste 160, Phoenix, AZ, 85012-2702
institution
Provider Profile Details
NPI Number
1659640902
Provider Name
Banner Primary Care Physicians Arizona Llc
Credential
Provider Entity Type
Organization
Address
2901 N Central Ave Ste 160, Phoenix, AZ, 85012-2702
Phone Number
602-747-4000
Fax Number
Provider Enumeration Date
12/15/2011
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417238908 01 MEDICAID NPI
646019 05 AZ
institution
Provider Business Practice Location Address Details
Address
2901 N Central Ave Ste 160
City
State
Zip
85012-2702
Phone Number
602-747-4000
Fax Number
person
Provider Business Mailing Address Details
Address
2901 N Central Ave Ste 160
City
State
Zip
85012-2702
Phone Number
602-747-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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