| Banner Ironwood Physicians | |
|
37100 N Gantzel Road Queen Creek AZ 85140 | |
| (480) 394-4480 | |
| Not Available |
| Full Name | Banner Ironwood Physicians |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 37100 N Gantzel Road, Queen Creek, Arizona |
| Authorized Official Name and Position | Dennis E Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Ironwood Physicians 1441 N 12th St Phoenix AZ 85006-2837 Ph: (602) 747-4000 | Banner Ironwood Physicians 37100 N Gantzel Road Queen Creek AZ 85140 Ph: (480) 394-4480 |
| NPI Number | 1679880314 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679880314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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