Organization · Type 2 NPI
Banner Physician Super Specialists Arizona LLC
Multi-Specialty Clinic/Center · San Tan Valley, AZ
NPI number
1396014403
Active
Practice location
37100 N Gantzel Rd Ste 214
San Tan Valley, AZ 85140-7353
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice locations
- 1760 E Florence Blvd Ste 100, Casa Grande, AZ 85122-4765 · (520) 374-6505
- 37000 N Gantzel Rd, Queen Creek, AZ 85140-7303 · (480) 397-4000
- 2050 W Southern Ave, Apache Junction, AZ 85120-7305 · (480) 733-3300
- 17900 N Porter Rd, Maricopa, AZ 85138-4228 · (520) 233-2500
- 1811 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 · (520) 374-6530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in San Tan Valley
About NPI 1396014403
Banner Physician Super Specialists Arizona LLC's National Provider Identifier is 1396014403, issued on Dec 19, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in San Tan Valley, AZ. The record was last updated on Apr 16, 2026.