Organization
BANNER SUN CITY NEUROLOGICAL AND SURGICAL SPECIALISTS
Active
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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