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BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1750929949
Nutritionist - Nutrition, Education in Peoria, AZ

Active since December 18, 2019
9165 W THUNDERBIRD RD, PEORIA, AZ 85381(623) 285-1120(623) 285-2626 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Banner Physician Specialists Arizona Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1750929949) is a healthcare organization registered as a nutrition, education in Peoria, Arizona and active in the NPI registry since December 2019. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750929949
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address9165 W THUNDERBIRD RDPeoria, AZ 85381-4847
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(623) 285-1120
Fax(623) 285-2626
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateDecember 18, 2019
✔ NPI 1750929949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
9165 W THUNDERBIRD RD, Peoria, AZ 85381
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALYA B FAYNBOYM MD
Physical Medicine & Rehabilitation
9165 W THUNDERBIRD RD, STE 100
PEORIA, AZ 85381
Maricopa County (623) 523-6560
MICHAEL A BUMANGLAG PA-C
Physician Assistant (Surgical)
9165 W THUNDERBIRD RD, SUITE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870
SUSAN C RALSTON RN MSN ARNP
Nurse Practitioner (Acute Care)
9165 W THUNDERBIRD RD, SUITE 101
PEORIA, AZ 85381
Maricopa County (623) 523-6555
DR. LEONARD A JASINSKI MD
Family Medicine
9165 W THUNDERBIRD RD, SUITE 101
PEORIA, AZ 85381
Maricopa County (623) 523-6555
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Nutritionist (Nutrition, Education)
9165 W THUNDERBIRD RD
PEORIA, AZ 85381
Maricopa County (623) 285-1120
JOSEPH B DOBRUSIN DPM
Podiatrist
9165 W THUNDERBIRD RD, STE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870
DUSTIN C WAITE PA-C
Physician Assistant
9165 W THUNDERBIRD RD, STE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870
DR. SAMANTHA ANN KARR PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9165 W THUNDERBIRD RD, SUITE 100
PEORIA, AZ 85381
Maricopa County (623) 876-6960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Physician Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Specialists Arizona LLC is 1750929949. It was assigned to this organization in the NPPES registry on December 18, 2019.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 9165 W Thunderbird Rd, Peoria, AZ 85381. The listed phone number is (623) 285-1120.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on December 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.