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Banner Phoenix Internal Medicine Physicians
NPI 1902017346 · Medical Specialty Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1902017346
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vp Finance(602) 747-4000
- License
- PENDING
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4400 N 32nd St
Suite 140
Phoenix, AZ 85018-3953
Phone: (602) 254-4424
Street-level locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2008-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.