BANNER GOOD SAMARITAN LIVER DISEASE CENTER

PAYSON, AZ
NPI1154639797
Entity TypeOrganization
Authorized ContactDENNIS E DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2010-09-16
Last Update Date2015-03-03
Business Address
BANNER GOOD SAMARITAN LIVER DISEASE CENTER
117 E MAIN ST SUITE A
PAYSON, AZ 85541-5293
Phone number: 602-839-4123
Mailing Address
BANNER GOOD SAMARITAN LIVER DISEASE CENTER
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: