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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