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Organization
BANNER ARIZONA MEDICAL CLINIC, LTD
Active
Organization
BANNER ARIZONA MEDICAL CLINIC, LTD
Active
Parent organization
BANNER HEALTH
Other names
Banner Arizona Medical Clinic, Ltd
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
MARGARET A BURKE (CHIEF FINANCIAL OFFICER)
(623) 876-3967
Entity
Organization
Contact information
Practice address
14418 W MEEKER BLVD, STE 105, SUN CITY WEST, AZ 85375-5283
(623) 583-5240
(623) 583-5235
Mailing address
14418 W MEEKER BLVD, STE 105, SUN CITY WEST, AZ 85375-5283
(623) 583-5240
(623) 583-5235
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
7-548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959520
—
AZ
Enumeration date
07/04/2006
Last updated
09/11/2009
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