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Banner Desert Medical Center — NPI 1174660435, Mesa, AZ | NPI Central

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NPI 1174660435

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Banner Desert Medical Center

NPI 1174660435 · Prosthetic/Orthotic Supplier · Mesa, AZ

Provider details

NPI number: 1174660435
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Parent organization: Banner Health
Authorized official: Dennis Laraway, Cfo

Practice location

1400 S Dobson Rd

Oncology Gift Shop, Room 1053

Mesa, AZ 85202-4707

Phone: (480) 412-5959

More AZ providers

Mailing address

2901 N Central Ave Ste 160

Phoenix, AZ 85012-2702

Registry dates

Enumerated: 2007-01-30
Last updated: 2021-12-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.