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Organization
BANNER OCCUPATIONAL HEALTH-ARIZONA LLC
Active
Organization
BANNER OCCUPATIONAL HEALTH-ARIZONA LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1101 N WILMOT RD STE 101, TUCSON, AZ 85712-5144
(520) 694-2550
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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