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Organization

BANNER - UNIVERSITY SUPER SPECIALISTS LLC

Active
Parent organization
BANNER UNIVERSITY MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER UNIVERSITY MEDICAL GROUP
Authorized official
BENJAMIN SCHWARTZ (PRESIDENT)
(602) 747-4000
Entity
Organization

Contact information

Practice address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
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
261QX0200X
Oncology Clinic/Center
282N00000X
General Acute Care Hospital

Other

Enumeration date
10/06/2015
Last updated
04/17/2026
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