Organization
B--UMG INTEGRATED HEALTH CLINIC, LLC
Active
Organization
B--UMG INTEGRATED HEALTH CLINIC, LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
VENKATA EVANI (PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
535 N WILMOT RD FL 2, TUCSON, AZ 85711-2600
(520) 694-1234
(520) 694-2185
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
10/28/2024
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