Banner -- University Medical Center Phoenix Campus Liver Disease Servi

NPI #1346558962 in Flagstaff, Arizona

Provider Information

NPI Number: 1346558962
Entity Type: Organization
Organization Name: Banner -- University Medical Center Phoenix Campus Liver Disease Servi
Subpart: Yes (part of a larger organization)
Parent Organization: BANNER HEALTH
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Sep 16, 2010
Last Updated: Feb 26, 2015

Practice Location

Address: 77 W FOREST AVE
Address 2: SUITE 210
City: Flagstaff
State: Arizona
ZIP Code: 86001-1479
Phone: (602) 839-4123

Authorized Official

Name: DENNIS E DAHLEN
Title: SR VP FINANCE
Phone: (602) 747-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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