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Organization
BANNER PHOENIX INTERNAL MEDICINE PHYSICIANS
Active
Organization
BANNER PHOENIX INTERNAL MEDICINE PHYSICIANS
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
4400 N 32ND ST, SUITE 140, PHOENIX, AZ 85018-3953
(602) 254-4424
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
PENDING
NULL
Other
Enumeration date
05/25/2007
Last updated
01/24/2008
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