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1265679260
BANNER COPPER BASIN MEDICAL CLINIC
QUEEN CREEK, AZ
NPI
1265679260
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Entity Type
Organization
Authorized Contact
DENNIS E DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2009-01-13
Last Update Date
2011-04-11
Business Address
BANNER COPPER BASIN MEDICAL CLINIC
2474 E HUNT HWY SUITE 10
QUEEN CREEK, AZ 85143-5210
Phone number: 480-543-6680
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Mailing Address
BANNER COPPER BASIN MEDICAL CLINIC
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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