# BANNER CHILDRENS SPECIALISTS

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

## Provider details

- **NPI number:** 1679941637
- **Authorized official:** MONICA BEJARANO (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (480) 412-7431

## Contact information

- **Practice address:** 1400 S DOBSON RD, MESA, AZ 85202-4707
- **Practice address phone:** (480) 412-3340
- **Practice address fax:** (480) 412-7974
- **Mailing address:** 6283 KILMER LOOP UNIT 205, ARVADA, CO 80403-7609
- **Mailing address phone:** (602) 790-7013

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2015
- **Last updated:** 09/08/2015