Organization
BANNER GOOD SAMARITAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 836-4556
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 836-4556
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
—
282N00000X
General Acute Care Hospital
Primary
261QM1300X
AZ
Other
Enumeration date
05/25/2010
Last updated
12/23/2021
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