Organization
BANNER SUN CITY NEUROLOGICAL AND SURGICAL SPECIALISTS
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
13188 N 103RD DR STE 206, SUN CITY, AZ 85351-3066
(623) 972-3001
Mailing address
1441 NORH 12TH STREET, PHOENIX, AZ 85006
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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