Organization
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Active
Parent organization
BANNER MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER MEDICAL GROUP
Authorized official
PATRICK PENROSE (VP AMBULATORY SERVICES)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
04/15/2026
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