Banner Mesa Surgery Center LLC
Clinic/Center, Ambulatory Surgical in Mesa, AZ. Organization (NPI-2).
NPI number1780109934
StatusActive
Last updated in NPPESJul 26, 2019
Details
- NPI
- 1780109934
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Mesa Surgery Center LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 9, 2017
- Last updated
- Jul 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
1500 S Dobson Rd Ste 101Mesa, AZ 85202-4722
Phone 480-306-6098 · Fax 602-801-3815
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Authorized official
Matthew Cox
Sr Vp Finance
6027474000
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All 74 Ambulatory Surgical Clinic/Center providers in Mesa · All 13,507 providers in Mesa
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