OrganizationActive
Bdmc Med Pro Fees
NPI 1104861392 · Health Service Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1104861392
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Authorized official
- Dennis Dahlen, Sr Vice President Finance
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2007-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.