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Banner Physician Specialists Arizona LLC

Multi-Specialty Clinic/Center in Page, AZ · enumerated 2012 · authorized official Dennis Laraway, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366799355

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Registry record

Entity type Organization (Type 2)
Legal business name Banner Physician Specialists Arizona LLC
Parent organization Banner Medical Group Arizona
Practice address 601 N Navajo, Page, AZ, 86040
Phone (928) 645-0131
Fax (928) 645-3549
Enumeration date Aug 8, 2012
Last updated in NPPES Dec 29, 2021

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Dennis Laraway
Title Cfo
Phone (602) 747-4000

Other identifiers

Identifier Type State Issuer
646505 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Banner Physician Specialists Arizona LLC?
Banner Physician Specialists Arizona LLC is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-29.