NPI 1164150363

Banner Physician Specialists Arizona LLC

Organisation Nutrition Education Nutritionist Glendale, AZ

Practice location

Address: 7701 W Aspera Blvd Stes 102, 201, 301, Glendale, AZ 85308-7935
Phone: (623) 248-2100
Fax: (623) 707-4809
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

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Other Nutritionist providers in Arizona →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1164150363
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.