NPI 1649559477

Banner Health Network

Organisation Exclusive Provider Organization Phoenix, AZ

Practice location

Address: 1441 N 12th St, Phoenix, AZ 85006-2837
Phone: (602) 747-4000

Authorised official

Name: Dennis E Dahlen
Title: Sr Vp Finance
Phone: (602) 747-4000

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Arizona →

Registry record

NPI: 1649559477
Entity type: Organization
NPI issued: 10 Aug 2011
Record last updated: 10 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.