Organization
ALLIED FAMILY CARE
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
RONALD R BUNNELL (CHIEF FINANCIAL OFFICER)
(602) 495-4000
Entity
Organization
Contact information
Practice address
500 W 10TH PL, MESA, AZ 85201-3298
(480) 461-2575
(480) 649-0994
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OTC 3572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
965436
—
AZ
Enumeration date
05/11/2006
Last updated
10/12/2007
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