Organization
BANNER -- UNIVERSITY MEDICAL CENTER PHX CAMPUS LIVER DISEASE SERVICES
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT - FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1300 N 12TH ST, PHOENIX, AZ 85006-2848
(602) 239-6324
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
04/01/2015
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