# BANNER HEALTH DBA CARDON CHILDRENS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134510514
- **Authorized official:** DENNIS LARAWAYS (CFO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1400 S DOBSON RD, MESA, AZ 85202-4707
- **Practice address phone:** (480) 412-5489
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | — | AZ | Yes |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 01/31/2022