| Organization Name: | BANNER-UNIVERSITY MEDICAL CENTER PHX CAMPUS MULTISPECIALTY SERVICES |
| NPI Number: | 1649223686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS DAHLEN (SR VICE PRESIDENT - FINANCE) |
| Mailing Address: | 1111 E Mcdowell Rd Phoenix |
| State: | AZ US |
| Postal Code: | 850062612 |
| Phone Number: | 6022392391 |
| Fax Number: | 6022394362 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |