Organization · Type 2 NPI

Banner -- University Medical Center Phoenix Campus Internal Medicine

Multi-Specialty Clinic/Center · Phoenix, AZ

NPI number 1124071162 Active

Practice location

1300 N 12th St, #610
Phoenix, AZ 85006-2848

Fax (602) 239-4233

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1124071162

Banner -- University Medical Center Phoenix Campus Internal Medicine's National Provider Identifier is 1124071162, issued on May 19, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 26, 2015.