Organization
BANNER NORTHWEST VALLEY OBSTETRICS AND GYNECOLOGY
Active
Organization
BANNER NORTHWEST VALLEY OBSTETRICS AND GYNECOLOGY
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
14418 W MEEKER BLVD STE 304, SUN CITY WEST, AZ 85375-5292
(623) 214-4400
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
06/05/2008
Last updated
01/27/2022
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