Organization
BANNER BAYWOOD SURGERY CENTER, LP
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) 747-4000
Entity
Organization
Contact information
Practice address
6424 E BROADWAY RD, SUITE 102, MESA, AZ 85206-1750
(480) 641-9292
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
01/23/2009
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