Organization · Type 2 NPI
Banner Peoria Surgery Center LLC
Ambulatory Surgical Clinic/Center · Peoria, AZ
NPI number
1104341353
Active
Practice location
13640 N Plaza Del Rio Blvd Ste 135
Peoria, AZ 85381-4846
Fax (602) 801-3657
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1104341353
Banner Peoria Surgery Center LLC's National Provider Identifier is 1104341353, issued on Aug 9, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Peoria, AZ. The record was last updated on Jul 26, 2019.