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Banner Health — NPI 1316375801, Tempe, AZ | NPI Central

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NPI 1316375801

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Banner Health

NPI 1316375801 · Non-Pharmacy Dispensing Site · Tempe, AZ

Provider details

NPI number: 1316375801
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Dennis Laraway, Cfo(602) 747-4000
License: 34858 (AZ)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 34858 (AZ)
Suppliers

Practice location

2600 E Southern Ave

Suite B2

Tempe, AZ 85282-7610

Phone: (480) 730-5100

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

2901 N Central Ave Ste 160

Phoenix, AZ 85012-2702

Other names (DBA / former)

Doing business as: Banner Health Clinic- Tempe
Doing business as: Banner Health Clinic- Tempe

Registry dates

Enumerated: 2013-10-22
Last updated: 2022-01-31
Certified: 2022-01-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.