BP
BANNER PHOENIX SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
PHOENIX, AZ
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1770008922
Agency details
Parent orgBANNER HEALTH
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients386
RevalidationDue 2024-07-31
Authorized official
NamePATRICK PENROSE
TitleVP
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