Banner Physician Super Specialists Arizona Llc
Specialty details in registry · Mesa, AZ
At a glance
1450 S Dobson Rd Ste B221, Mesa, AZ 85202-4745
NPPES record updated Dec 28, 2021. 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
1450 S Dobson Rd Ste B221Mesa, AZ 85202-4745
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 133NN1002X
- Enumeration date
- Jul 11, 2019
- Record updated
- Dec 28, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
133NN1002X · Primary
Specialty details in registry
261QM1300X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1450 S Dobson Rd Ste B221Mesa, AZ 85202-4745
- Phone
- (480) 827-5370
Mailing address
2901 N CENTRAL AVE STE 160PHOENIX, AZ 850122702
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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