OrganizationActive
Banner Primary Care Physicians Arizona LLC
NPI 1255213518 · Primary Care Clinic/Center · Queen Creek, AZ
Provider details
- NPI number
- 1255213518
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Shiva Birdi, Ceo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone: (480) 512-3700
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.