| Banner-university Medical Group | |
|
3533 Canyon De Flores Ste C Sierra Vista AZ 85650-5366 | |
| (520) 458-2000 | |
| Not Available |
| Full Name | Banner-university Medical Group |
|---|---|
| Speciality | Clinic/center |
| Location | 3533 Canyon De Flores Ste C, Sierra Vista, Arizona |
| Authorized Official Name and Position | Richard R. Orlandi (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner-university Medical Group 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 | Banner-university Medical Group 3533 Canyon De Flores Ste C Sierra Vista AZ 85650-5366 Ph: (520) 458-2000 |
| NPI Number | 1912889650 |
|---|---|
| Provider Enumeration Date | 07/23/2025 |
| Last Update Date | 07/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912889650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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