Banner - University Hospital Based Physicians LLC

NPI #1013627967 in Phoenix, Arizona

Provider Information

NPI Number
1013627967
Entity Type
Organization
Organization Name
Banner - University Hospital Based Physicians LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER -- UNIVERSITY MEDICAL GROUP
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Dec 1, 2022
Last Updated
Dec 1, 2022

Practice Location

Address
1111 E MCDOWELL RD
State
Arizona
ZIP Code
85006-2612
Phone
(602) 839-3749

Authorized Official

Name
TODD WERNER
Title
DIVISION PRESIDENT
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - RadiologyRadiology

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