Organization
FAMILY MEDICAL CENTER
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (SR VICE PRESIDENT FINANCE)
(602) 495-4000
Entity
Organization
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 423-3151
(775) 428-2166
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
10/22/2007
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