Banner -- University Medical Center Phoenix Campus Liver Disease Servi | |
2771 Silver Creek Rd Suite 101 Bullhead City AZ 86442-7959 | |
(602) 839-4123 | |
Not Available |
Full Name | Banner -- University Medical Center Phoenix Campus Liver Disease Servi |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2771 Silver Creek Rd, Bullhead City, Arizona |
Authorized Official Name and Position | Dennis E Dahlen (SR VP FINANCE) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Banner -- University Medical Center Phoenix Campus Liver Disease Servi 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner -- University Medical Center Phoenix Campus Liver Disease Servi 2771 Silver Creek Rd Suite 101 Bullhead City AZ 86442-7959 Ph: (602) 839-4123 |
NPI Number | 1306154943 |
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Provider Enumeration Date | 09/16/2010 |
Last Update Date | 02/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306154943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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