Banner -- University Medical Center Phoenix Campus Family Medicine
Banner -- University Medical Center Phoenix Campus Family Medicine provides Family Medicine Physician services in Phoenix, Arizona. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1300 N 12th St Ste 605Phoenix, AZ 85006-2848 Not confirmed with CMS for 11 years — call before visiting
Phone: (602) 239-4567
Fax: (602) 239-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1124073747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Health |
| Authorized official | Dennis Dahlen — Sr Vice President - Finance · (602) 747-4000 |
| NPI enumerated | May 23, 2006 |
| Last updated in NPPES | February 26, 2015 |
| Mailing address | 1441 N 12th St, Phoenix, AZ 85006-2837 |
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