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Organization
BANNER MESA SURGERY CENTER LLC
Active
Organization
BANNER MESA SURGERY CENTER LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
MATTHEW COX (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1500 S DOBSON RD STE 101, MESA, AZ 85202-4722
(480) 306-6098
(602) 801-3815
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/09/2017
Last updated
07/26/2019
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