Organization · Type 2 NPI

Banner Physician Specialists Arizona LLC

Nutrition Education Nutritionist · Phoenix, AZ

NPI number 1992433197 Active

Practice location

4375 E Irma Ln
Phoenix, AZ 85050-4312

Fax (480) 890-5920

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist Primary 133NN1002XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Nutrition Education Nutritionist: Definition to come...

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About NPI 1992433197

Banner Physician Specialists Arizona LLC's National Provider Identifier is 1992433197, issued on Aug 15, 2022. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 15, 2022.