OrganizationActive
Banner Copper Basin Medical Clinic
NPI 1265679260 · Multi-Specialty Clinic/Center · Queen Creek, AZ
Provider details
- NPI number
- 1265679260
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vp Finance(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2474 E Hunt Hwy
Suite 10
Queen Creek, AZ 85143-5210
Phone: (480) 543-6680
Approximate (ZIP-level) locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2009-01-13
- Last updated
- 2011-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.