Provider First Line Business Practice Location Address:
6644 E. BAYWOOD AVE.
Provider Second Line Business Practice Location Address:
BANNER BAYWOOD EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-321-0183
Provider Business Practice Location Address Fax Number:
480-321-0402
Provider Enumeration Date:
02/10/2006