Organization
BANNER OCCUPATIONAL HEALTH - ONSITE, LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LAROWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1621 W RIO SALADO PKWY BLDG D, TEMPE, AZ 85281-2608
(480) 872-2466
(480) 872-2470
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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