# BANNER WHOLE HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346606761
- **Authorized official:** LEE EASTER (ADMINISTRATOR)
- **Authorized official phone:** (520) 694-5753

## Contact information

- **Practice address:** 535 N, WIMONT, TUCSON, AZ 85711
- **Practice address phone:** (520) 694-9457
- **Mailing address:** 535 N, WIMONT, TUCSON, AZ 85711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | LPC-2371 | AZ | Yes |

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 01/14/2016