Banner Ironwood Physicians
Clinic/Center, Multi-Specialty in Queen Creek, AZ. Organization (NPI-2).
NPI number1679880314
StatusActive
Last updated in NPPESFeb 2, 2011
Details
- NPI
- 1679880314
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Ironwood Physicians
- Organization subpart
- Yes
- Enumeration date
- Sep 1, 2010
- Last updated
- Feb 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
37100 N Gantzel RoadQueen Creek, AZ 85140
Phone 480-394-4480
Mailing address
1441 N 12th StPhoenix, AZ 85006-2837
Phone 602-747-4000
Authorized official
Dennis E Dahlen
Sr Vp Finance
6027474000
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