Organization · Type 2 NPI

Banner -- University Medical Center Phoenix Campus Liver Disease Servi

Multi-Specialty Clinic/Center · Flagstaff, AZ

NPI number 1346558962 Active

Practice location

77 W Forest Ave, Suite 210
Flagstaff, AZ 86001-1479

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 1346558962

Banner -- University Medical Center Phoenix Campus Liver Disease Servi's National Provider Identifier is 1346558962, issued on Sep 16, 2010. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Flagstaff, AZ. The record was last updated on Feb 26, 2015.