institution
Banner Physician Super Specialists Arizona Llc
Multi-Specialty Clinic/Center in Mesa, Arizona
NPI 1790337665

Banner Physician Super Specialists Arizona Llc is a Multi-Specialty Clinic/Center based in Phoenix, AZ and is specialized in Multi-Specialty. Banner Physician Super Specialists Arizona Llc practices in Mesa, AZ. The NPI Number for Banner Physician Super Specialists Arizona Llc is 1790337665 and holds a License No. (Arizona).

The current practice location address for Banner Physician Super Specialists Arizona Llc is 1450 S Dobson Rd Ste B221, Mesa, AZ and can be reached out via phone at 480-827-5370.

Location: 1450 S Dobson Rd Ste B221, Mesa, AZ, 85012-2702
institution
Provider Profile Details
NPI Number
1790337665
Provider Name
Banner Physician Super Specialists Arizona Llc
Credential
Provider Entity Type
Organization
Address
1450 S Dobson Rd Ste B221, Mesa, AZ, 85012-2702
Phone Number
480-827-5370
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1450 S Dobson Rd Ste B221
City
State
Zip
85202-4745
Phone Number
480-827-5370
Fax Number
person
Provider Business Mailing Address Details
Address
1450 S Dobson Rd Ste B221
City
State
Zip
85202-4745
Phone Number
480-827-5370
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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