BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI
NPI 1346558962
Clinic/Center - Multi-Specialty in Flagstaff, AZ

Q: What is Banner -- University Medical Center Phoenix Campus Liver Disease Servi's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 16, 2010

77 W FOREST AVE, SUITE 210, FLAGSTAFF, AZ 86001(602) 839-4123 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Banner -- University Medical Center Phoenix Campus Liver Disease Servi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI (NPI 1346558962) is a healthcare organization registered as a multi-specialty in Flagstaff, Arizona and active in the NPI registry since September 2010. The organization lists Dennis E Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1346558962

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI

Location Address77 W FOREST AVE, SUITE 210Flagstaff, AZ 86001-1479

Mailing Address1441 N 12th StPhoenix, AZ 85006-2837

Phone(602) 839-4123

Organization SubpartYesParent: Banner Health

Authorized OfficialDennis E DahlenSr Vp Finance · (602) 747-4000

Enumeration DateSeptember 16, 2010

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1346558962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

77 W FOREST AVE, Flagstaff, AZ 86001

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Other Identifiers 1

Medicare PINZ122408

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL E WESCHE MD

Surgery

77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2222

MS. SHERRY ANN MACE FNP

Nurse Practitioner (Family)

77 W FOREST AVE, SUITE 301
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2538

NEINA ORRILLO CRNA

Nurse Anesthetist, Certified Registered

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

BARBARA L. BOSCH M.D.

Pediatrics

77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3600

DR. DOUGLAS DEAN LEE MD

Anesthesiology

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

NORTHERN ARIZONA CARDIOVASCULAR SPECIALISTS PC

Internal Medicine (Cardiovascular Disease)

77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001

Coconino County (928) 214-0470

DR. GARY STEVEN CHRISTENSEN MD

Anesthesiology

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

LEE B MCGAREY MD

Pediatrics

77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner -- University Medical Center Phoenix Campus Liver Disease Servi's NPI number?

The NPI number for Banner -- University Medical Center Phoenix Campus Liver Disease Servi is 1346558962. It was assigned to this organization in the NPPES registry on September 16, 2010.

Where is Banner -- University Medical Center Phoenix Campus Liver Disease Servi located?

Banner -- University Medical Center Phoenix Campus Liver Disease Servi is located at 77 W Forest Ave Suite 210, Flagstaff, AZ 86001. The listed phone number is (602) 839-4123.

What is Banner -- University Medical Center Phoenix Campus Liver Disease Servi's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Banner -- University Medical Center Phoenix Campus Liver Disease Servi was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.