Organization
BANNER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
4259 S SQUIRES LN, GILBERT, AZ 85297-1206
(480) 273-9513
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1780739631
AZ
Other
Enumeration date
02/25/2017
Last updated
01/31/2022
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