Organization · Type 2 NPI

Banner Arizona Medical Clinic Ltd

Durable Medical Equipment & Medical Supplies · Peoria, AZ

NPI number 1780715698 Active

Practice location

9165 W Thunderbird Road
Peoria, AZ 85381

Fax (623) 523-6586

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XOTC4107 (AZ)
Prosthetic/Orthotic Supplier 335E00000XOTC4107 (AZ)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1780715698

Banner Arizona Medical Clinic Ltd's National Provider Identifier is 1780715698, issued on Mar 9, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Peoria, AZ. The record was last updated on Sep 19, 2008.