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Organization
BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS
Active
Organization
BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
6750 E BAYWOOD AVE, SUITE 504, MESA, AZ 85206-1749
(480) 461-2409
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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