OrganizationActive
Banner Arizona Medical Clinic Ltd
NPI 1750347936 · Multi-Specialty Clinic/Center · Peoria, AZ
Provider details
- NPI number
- 1750347936
- 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
- License
- OTC3936 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846
Phone: (623) 876-3800
Fax: (623) 972-9590
Approximate (ZIP-level) locationGet directions
Mailing address
13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2008-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.