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1346558962
BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI
FLAGSTAFF, AZ
NPI
1346558962
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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
2010-09-16
Last Update Date
2015-02-26
Business Address
BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI
77 W FOREST AVE SUITE 210
FLAGSTAFF, AZ 86001-1479
Phone number: 602-839-4123
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Mailing Address
BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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