OrganizationActive
Banner -- University Medical Center Phoenix Campus Internal Medicine
NPI 1124071162 · Multi-Specialty Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1124071162
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vice President - Finance(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1300 N 12th St
#610
Phoenix, AZ 85006-2848
Phone: (602) 239-4161
Fax: (602) 239-4233
Approximate (ZIP-level) locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2015-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.