# BANNER PHOENIX INTERNAL MEDICINE PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902017346
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DENNIS E DAHLEN (SR VP FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 4400 N 32ND ST, SUITE 140, PHOENIX, AZ 85018-3953
- **Practice address phone:** (602) 254-4424
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | PENDING | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 01/24/2008