# BANNER SURGERY CENTER - THUNDERBIRD, LLC

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

## Provider details

- **NPI number:** 1881225639
- **Authorized official:** MR. ARIC T BURKE (PRESIDENT)
- **Authorized official phone:** (602) 354-4935

## Contact information

- **Practice address:** 5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
- **Practice address phone:** (602) 354-8847
- **Mailing address:** 2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
- **Mailing address phone:** (602) 550-0428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 08/26/2024