Organization · Type 2 NPI
Banner Good Samaritan Liver Disease Center
Multi-Specialty Clinic/Center · Payson, AZ
NPI number
1154639797
Active
Practice location
117 E Main St, Suite A
Payson, AZ 85541-5293
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
Other multi-specialty clinic/center providers in Payson
About NPI 1154639797
Banner Good Samaritan Liver Disease Center's National Provider Identifier is 1154639797, issued on Sep 16, 2010. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Payson, AZ. The record was last updated on Mar 3, 2015.