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Organization

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
SHIVA BIRDI (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1800 N CIVIC SQ STE 200, 220, 320, GOODYEAR, AZ 85395-2391
(623) 465-6506
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/21/2025
Last updated
04/17/2026
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