Organization
BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
Active
Parent organization
BANNER UNIVERSITY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER UNIVERSITY MEDICAL GROUP
Authorized official
BENJAMIN SCHWARTZ (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 471-3222
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086588
—
AZ
Enumeration date
10/06/2015
Last updated
04/13/2026
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