Banner Arizona Medical Clinic Ltd in Peoria - Prosthetic/orthotic Supplier
Banner Arizona Medical Clinic Ltd - NPI 1780715698
Banner Arizona Medical Clinic Ltd is a Prosthetic/orthotic Supplier in Peoria, Arizona. Banner Arizona Medical Clinic Ltd practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Banner Arizona Medical Clinic Ltd is 1780715698. The last update date is 2008-09-19.
Banner Arizona Medical Clinic Ltd's current location address is 13640 N Plaza Del Rio Blvd, Peoria, Arizona. You can contact this provider via phone number 6238763800. The mailing address for Banner Arizona Medical Clinic Ltd is 13640 N Plaza Del Rio Blvd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Banner Arizona Medical Clinic Ltd |
|---|---|
| Address | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
| Phone Number | 6238763800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Burke Margaret |
| Telephone Number | 6238763967 |
NPI Number Detail
| NPI Number | 1780715698 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2008-09-19 |
Provider Mailing Address Detail
| Address | 13640 N Plaza Del Rio Blvd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814846 |
| Phone Number | 6238763800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | OTC4107 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 516437 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Banner Arizona Medical Clinic Ltd by the Centers for Medicare & Medicaid Services?
The Banner Arizona Medical Clinic Ltd has been assigned the NPI (National Provider Identifier) 1780715698. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Banner Arizona Medical Clinic Ltd's physical address?
The Banner Arizona Medical Clinic Ltd is physically located at 13640 N Plaza Del Rio Blvd, in the city of Peoria, AZ, with the postal code 853814846.
What is Banner Arizona Medical Clinic Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Banner Arizona Medical Clinic Ltd is Prosthetic/orthotic Supplier, and the corresponding taxonomy classification code for this specialized field is 335E00000X.
On what date did the Banner Arizona Medical Clinic Ltd receive the assignment of its 1780715698 from the Centers for Medicare & Medicaid Services?
The Banner Arizona Medical Clinic Ltd was issued its 1780715698 by the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date were the details related to Banner Arizona Medical Clinic Ltd most recently updated or revised?
The information pertaining to Banner Arizona Medical Clinic Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-19.
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