Organization · Type 2 NPI

Banner Copper Basin Medical Clinic

Multi-Specialty Clinic/Center · Queen Creek, AZ

NPI number 1265679260 Active

Practice location

2474 E Hunt Hwy, Suite 10
Queen Creek, AZ 85143-5210

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...

2 other providers at this address

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About NPI 1265679260

Banner Copper Basin Medical Clinic's National Provider Identifier is 1265679260, issued on Jan 13, 2009. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Queen Creek, AZ. The record was last updated on Apr 11, 2011.