NPI 1083342273
Banner Physician Specialists Arizona LLC
Practice location
- Address
- 14416 W Meeker Blvd, Sun City West, AZ 85375-5284
- Phone
- (623) 876-3800
- Fax
- (623) 546-9896
- Mailing address
- 2901 N Central Ave STE 160, Phoenix, AZ 85012-2702
Authorised official
- Name
- Shiva Birdi
- Title
- Ceo/Bmg
- Phone
- (602) 747-4000
Registered specialties (2)
Nutrition Education Nutritionist
Primary
Multi-Specialty Clinic/Center
Registry record
- NPI
- 1083342273
- Entity type
- Organization
- NPI issued
- 15 Aug 2022
- Record last updated
- 15 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.