Graduated: 2020
NPI: 1427687953
Practice Locations (2)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
120 E MAIN ST, SUITE A
PAYSON, AZ 855415618
9285964700
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
37100 N GANTZEL RD, SUITE 107
SAN TAN VALLEY, AZ 851407350
4803944480
Source: CMS National Downloadable File, September 2026.