Organization · Type 2 NPI

Banner Arizona Medical Clinic Ltd

Multi-Specialty Clinic/Center · Peoria, AZ

NPI number 1750347936 Active

Practice location

13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846

Fax (623) 972-9590

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XOTC3936 (AZ)

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

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About NPI 1750347936

Banner Arizona Medical Clinic Ltd's National Provider Identifier is 1750347936, issued on Apr 25, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Peoria, AZ. The record was last updated on Dec 3, 2008.