OrganizationActive
Banner Pediatric Specialists LLC
NPI 1639323447 · Multi-Specialty Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1639323447
- 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
1432 S Dobson Rd
Mesa, AZ 85202-4768
Phone: (480) 614-3665
Approximate (ZIP-level) locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2008-11-06
- Last updated
- 2009-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.