BANNER GOOD SAMARITAN BARIATRIC PROGRAM

PHOENIX, AZ
NPI1134172679
Entity TypeOrganization
Authorized ContactDENNIS DAHLEN
Sr Vice President Finance
602-495-4000
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2006-05-18
Last Update Date2007-10-15
Business Address
BANNER GOOD SAMARITAN BARIATRIC PROGRAM
1300 N 12TH ST
PHOENIX, AZ 85006-2850
Phone number: 602-239-5000
Mailing Address
BANNER GOOD SAMARITAN BARIATRIC PROGRAM
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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