# BANNER OCCUPATIONAL HEALTH - ONSITE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407412331
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DENNIS LAROWAY (CFO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1621 W RIO SALADO PKWY BLDG D, TEMPE, AZ 85281-2608
- **Practice address phone:** (480) 872-2466
- **Practice address fax:** (480) 872-2470
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2019
- **Last updated:** 05/16/2019