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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
10/24/2019
Last updated
10/24/2019
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