OrganizationActive
Banner Occupational Health Arizona LLC
NPI 1477196277 · Occupational Medicine Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1477196277
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2225 W Southern Ave
Mesa, AZ 85202-4716
Phone: (480) 412-6374
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2019-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.