# BANNER SURGERY CENTER - ALVERNON LLC

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

## Provider details

- **NPI number:** 1922660109
- **Authorized official:** MR. BRETT WALTON (VP OF OPERATIONS)
- **Authorized official phone:** (909) 212-1708

## Contact information

- **Practice address:** 750 N ALVERNON WAY, TUCSON, AZ 85711-1804
- **Practice address phone:** (480) 292-8541
- **Practice address fax:** (602) 926-0412
- **Mailing address:** 2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
- **Mailing address phone:** (602) 358-8512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 03/17/2026