| Banner Arizona Medical Clinic Ltd | |
|
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 | |
| (623) 876-3800 | |
| (623) 972-9590 |
| Full Name | Banner Arizona Medical Clinic Ltd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
| Authorized Official Name and Position | Dennis Dahlen (SR VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Arizona Medical Clinic Ltd 13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 Ph: (623) 876-3800 | Banner Arizona Medical Clinic Ltd 13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 Ph: (623) 876-3800 |
| NPI Number | 1750347936 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750347936 | NPI | - | NPPES |
| 0516437 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | OTC3936 (Arizona) | Primary |
Centerwell Senior Primary Care Az Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10280 N 91st Ave, Peoria, AZ 85345 Phone: 602-842-9880 Fax: 877-891-4091 | |
Elite Infusions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10252 W Villa Chula, Peoria, AZ 85383 Phone: 623-210-5041 | |
Compassionate Care Treatments Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10805 W Adam Ave, Peoria, AZ 85373 Phone: 317-448-3532 Fax: 765-374-0949 | |
Banner Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-561-4532 | |
Arizona Doctors, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6739 W Cactus Rd, Peoria, AZ 85381 Phone: 623-240-1110 Fax: 623-889-0814 | |
Brivadental Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13695 N 75th Ave, Peoria, AZ 85381 Phone: 602-439-1101 Fax: 602-789-1653 | |
Honorhealth Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383 Phone: 623-266-4699 |