BANNER-UNIVERSITY MEDICAL CENTER PHX CAMPUS MULTISPECIALTY SERVICES
NPI 1649223686
General Practice in Phoenix, AZ

Q: What is Banner-University Medical Center Phx Campus Multispecialty Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 19, 2006

1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 239-2391(602) 239-4362 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Banner-university Medical Center Phx Campus Multispecialty Services NPPES

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

BANNER-UNIVERSITY MEDICAL CENTER PHX CAMPUS MULTISPECIALTY SERVICES (NPI 1649223686) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since May 2006. The organization lists Dennis Dahlen, Sr Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1649223686

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBANNER-UNIVERSITY MEDICAL CENTER PHX CAMPUS MULTISPECIALTY SERVICES

Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612

Mailing Address1441 N 12th StPhoenix, AZ 85006-2837

Phone(602) 239-2391

Fax(602) 239-4362

Organization SubpartYesParent: Banner Health

Authorized OfficialDennis DahlenSr Vice President - Finance · (602) 747-4000

Enumeration DateMay 19, 2006

Last NPPES UpdateApril 13, 2015

✔ NPI 1649223686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1111 E MCDOWELL RD, Phoenix, AZ 85006

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Other Identifiers 2

Medicaid778847AZ

Medicare PINZ73974AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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.

DR. CARRIE LYNN COOK D.O.

Emergency Medicine