| Banner Primary Care Physicians Arizona Llc | |
|
2474 E Hunt Hwy Suite 10 San Tan Valley AZ 85143-5210 | |
| (480) 543-6680 | |
| Not Available |
| Full Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2474 E Hunt Hwy, San Tan Valley, 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 Primary Care Physicians Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Primary Care Physicians Arizona Llc 2474 E Hunt Hwy Suite 10 San Tan Valley AZ 85143-5210 Ph: (480) 543-6680 |
| NPI Number | 1659640902 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659640902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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O.serrano, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-461-1135 Fax: 480-461-1138 | |
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Banner Physician Specialists Arizona Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd, Ste 107, San Tan Valley, AZ 85140 Phone: 480-394-4480 | |
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Azmed4u Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 E Hunt Hwy Ste 16-189, San Tan Valley, AZ 85143 Phone: 480-349-7169 Fax: 480-546-3765 |