| Banner -- University Medical Center Phoenix Campus Liver Disease Servi | |
|
2771 Silver Creek Rd Suite 101 Bullhead City AZ 86442-7959 | |
| (602) 839-4123 | |
| Not Available |
| Full Name | Banner -- University Medical Center Phoenix Campus Liver Disease Servi |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2771 Silver Creek Rd, Bullhead City, 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 -- University Medical Center Phoenix Campus Liver Disease Servi 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner -- University Medical Center Phoenix Campus Liver Disease Servi 2771 Silver Creek Rd Suite 101 Bullhead City AZ 86442-7959 Ph: (602) 839-4123 |
| NPI Number | 1306154943 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306154943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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