Banner Physician Specialists Arizona LLC

Organization Nutrition Education Nutritionist · NPI 1083342273

Banner Physician Specialists Arizona LLC provides Nutrition Education Nutritionist services in Sun City West, Arizona. Registered with an NPI since 2022.

In the registry since: 2022
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

14416 W Meeker Blvd
Sun City West, AZ 85375-5284
Phone: (623) 876-3800
Fax: (623) 546-9896

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary)	Taxonomy 133NN1002X
Multi-Specialty Clinic/Center	Taxonomy 261QM1300X

Record details

NPI number	1083342273
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Banner Medical Group
Authorized official	Shiva Birdi — Ceo/Bmg · (602) 747-4000
NPI enumerated	August 15, 2022
Last updated in NPPES	August 15, 2022
Certification date	August 15, 2022
Mailing address	2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702