Organization · Type 2 NPI

Banner Medical Group Pediatric Sleep, LLC

Sleep Disorder Diagnostic Clinic/Center · Casa Grande, AZ

NPI number 1104416429 Active

Practice location

1828 E Florence Blvd Bldg C Ste 136
Casa Grande, AZ 85122

Fax (520) 381-6051

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

TaxonomyCodeLicense
Sleep Disorder Diagnostic Clinic/Center Primary 261QS1200XNone listed

Sleep Disorder Diagnostic Clinic/Center: Definition to come...

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About NPI 1104416429

Banner Medical Group Pediatric Sleep, LLC's National Provider Identifier is 1104416429, issued on Jan 20, 2021. The primary taxonomy on file is Sleep Disorder Diagnostic Clinic/Center (261QS1200X), and the practice location is in Casa Grande, AZ. The record was last updated on Dec 30, 2021.