Organization
BANNER ARIZONA MEDICAL CLINIC LTD
Active
Parent organization
BANNER ARIZONA MEDICAL CLINIC LTD
Other names
Alan Grobman MD Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER ARIZONA MEDICAL CLINIC LTD
Authorized official
MARGARET BURKE (CHIEF FINANCIAL OFFICER)
(623) 876-3967
Entity
Organization
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3995
(623) 876-6957
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
AZ
Other
Enumeration date
03/08/2007
Last updated
03/25/2008
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