NPI 1396156139
Banner Health
Practice location
- Address
- 13640 N Plaza del Rio Blvd 3rd Floor, Suite 350, Peoria, AZ 85381-4846
- Phone
- (623) 583-5044
- Mailing address
- 2901 N Central Ave STE 160, Phoenix, AZ 85012-2702
Authorised official
- Name
- Dennis Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1396156139
- Entity type
- Organization
- NPI issued
- 14 May 2014
- Record last updated
- 31 Jan 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.