Organization
BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS HOSPITALIST SERVICES
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (CHIEF FINANCIAL OFFICERS)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1300 N 12TH ST, STE 507, PHOENIX, AZ 85006-2848
(602) 239-3350
Mailing address
1300 N 12TH ST, STE 507, PHOENIX, AZ 85006-2848
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
04/28/2015
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