| Banner Primary Care Physicians Arizona Llc | |
|
13995 W Statler Blvd Bldg 1 Surprise AZ 85374-5501 | |
| (623) 478-3100 | |
| Not Available |
| Full Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13995 W Statler Blvd Bldg 1, Surprise, Arizona |
| Authorized Official Name and Position | Shiva Birdi (CEO) |
| 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: (602) 747-4000 | Banner Primary Care Physicians Arizona Llc 13995 W Statler Blvd Bldg 1 Surprise AZ 85374-5501 Ph: (623) 478-3100 |
| NPI Number | 1992687248 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992687248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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