Organization · Type 2 NPI

Banner Medical Group Care Gap LLC

Multi-Specialty Clinic/Center · Phoenix, AZ

NPI number 1942058672 Active

Practice location

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice locations

  • 4720 E Greenway Rd, Phoenix, AZ 85032-4355 · (602) 439-6000

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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

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About NPI 1942058672

Banner Medical Group Care Gap LLC's National Provider Identifier is 1942058672, issued on May 8, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 20, 2026.