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Organization

FAIRBANKS MEMORIAL CARDIOLOGY 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) 747-4000
Entity
Organization

Contact information

Practice address
1650 COWLES ST, SUITE 60A, FAIRBANKS, AK 99701-5925
(907) 458-5525
(970) 458-5514
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
03/05/2007
Last updated
02/26/2015
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