NPI 1992433197

Banner Physician Specialists Arizona LLC

Organisation Nutrition Education Nutritionist Phoenix, AZ

Practice location

Address: 4375 E Irma Ln, Phoenix, AZ 85050-4312
Phone: (480) 890-5800
Fax: (480) 890-5920
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: 1992433197
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.