Organization · Type 2 NPI

Banner Arizona Asc LLC

Ambulatory Surgical Clinic/Center · Peoria, AZ

NPI number 1790759355 Active

Practice location

13640 N Plaza Del Rio Blvd, Suite 135
Peoria, AZ 85381-4846

Fax (623) 876-6946

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XOSC3316 (AZ)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1790759355

Banner Arizona Asc LLC's National Provider Identifier is 1790759355, issued on Feb 13, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Peoria, AZ. The record was last updated on Sep 7, 2023.