Banner Health

Specialty details in registry · Payson, AZ

Call (928) 471-3222 Directions

At a glance

807 S Ponderosa St, Payson, AZ 85541-5542

NPPES record updated Jul 24, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

807 S Ponderosa St
Payson, AZ 85541-5542

Additional reported practice locations

117 E Main St Ste A100
Payson, AZ 855414606
Phone: 9285964500
803 S Ponderosa St Ste C
Payson, AZ 855415521
Phone: 9284711259
101 E State Highway 260 Ste G
Payson, AZ 855414921
Phone: 8882642127
680 E Deuce Of Clubs
Show Low, AZ 859014829
Phone: 8882642127
803 S Ponderosa St Ste A
Payson, AZ 855415521
Phone: 9285964575
6152 Hardscrabble Rd
Mailing Address Po Box 62
Pine, AZ 855445238
Phone: 9285964848
127 E Main St Ste C
Payson, AZ 855415646
Phone: 9284723450
3457 W White Mountain Blvd
Lakeside, AZ 859296007
Phone: 8882642127
Professional details: NPI, taxonomy & registry record
NPI1063923340
Call Directions

Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
282NC0060X
Enumeration date
Oct 13, 2017
Record updated
Jul 24, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QR0404X

Specialty details in registry

261QS1200X

Specialty details in registry

282NC0060X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

807 S Ponderosa St
Payson, AZ 85541-5542
Phone
(928) 471-3222
Mailing address
2901 N CENTRAL AVE STE 160

PHOENIX, AZ 850122702
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue