# BANNER DESERT SURGERY CENTER LP

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

## Provider details

- **NPI number:** 1902841117
- **Authorized official:** DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1500 S DOBSON RD STE 101, MESA, AZ 85202-4722
- **Practice address phone:** (480) 512-3590
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 3780 | AZ | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 04/12/2013