Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
Active OrganizationBANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC is a Nutrition, Education organization located in MESA, Arizona. NPI 1790337665 is currently active in the NPPES registry. Verify at CMS.
Nutrition, Education · MESA, AZ
Registration Details
- NPI Number
- 1790337665
- Provider Type
- Organization
- NPI Issued
- Jul 11, 2019 (7.1299057872516 yrs)
- Last Updated
- Dec 28, 2021
Practice Information
- Address
-
1450 S DOBSON RD STE B221MESA, AZ, 852024745Browse AZ providers · Browse ZIP 85202
- Phone
- 4808275370
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Nutrition, Education
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.