Organization · Type 2 NPI

Banner Pediatric Specialists LLC

Multi-Specialty Clinic/Center · Mesa, AZ

NPI number 1639323447 Active

Practice location

1432 S Dobson Rd
Mesa, AZ 85202-4768

Call (480) 614-3665 Map

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1639323447

Banner Pediatric Specialists LLC's National Provider Identifier is 1639323447, issued on Nov 6, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Mesa, AZ. The record was last updated on Apr 17, 2009.