| Banner Physician Super Specialists Arizona Llc | |
|
5310 W Thunderbird Rd Ste 214 Glendale AZ 85306-4722 | |
| (602) 865-4480 | |
| Not Available |
| Full Name | Banner Physician Super Specialists Arizona Llc |
|---|---|
| Speciality | Nutritionist - Nutrition, Education |
| Location | 5310 W Thunderbird Rd Ste 214, Glendale, Arizona |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Physician Super Specialists Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Physician Super Specialists Arizona Llc 5310 W Thunderbird Rd Ste 214 Glendale AZ 85306-4722 Ph: (602) 865-4480 |
| NPI Number | 1578125738 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578125738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Primary |
Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308 Phone: 623-266-7858 Fax: 623-444-9810 | |
A New Leaf Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8581 N 61st Ave Bldg A, Glendale, AZ 85302 Phone: 623-934-1991 Fax: 623-878-9335 | |
William E. Zachow D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7802 N 43rd Ave, Suite # 5, Glendale, AZ 85301 Phone: 602-790-4221 | |
Arrowhead Health Center & Spa, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17100 W 67th Ave, 300, Glendale, AZ 85308 Phone: 818-458-2587 | |
Sun Valley Geriatric Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6740 W Deer Valley Rd, Suite D 107, Glendale, AZ 85310 Phone: 623-734-7414 | |
Woods Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20652 N 53rd Ave, Glendale, AZ 85308 Phone: 262-383-5517 Fax: 920-268-4285 | |
Malinka Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18700 N 64th Dr Ste 201, Glendale, AZ 85308 Phone: 602-699-6272 Fax: 862-343-9530 |