Banner Pediatric Specialists Llc | |
1432 S Dobson Rd Mesa AZ 85202-4768 | |
(480) 614-3665 | |
Not Available |
Full Name | Banner Pediatric Specialists Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1432 S Dobson Rd, Mesa, Arizona |
Authorized Official Name and Position | Dennis Dahlen (SR VP FINANCE) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Pediatric Specialists Llc 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Pediatric Specialists Llc 1432 S Dobson Rd Mesa AZ 85202-4768 Ph: (480) 614-3665 |
NPI Number | 1639323447 |
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Provider Enumeration Date | 11/06/2008 |
Last Update Date | 04/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639323447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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