Organization · Type 2 NPI

Banner Good Samaritan Outpatient Clinic

Multi-Specialty Clinic/Center · Phoenix, AZ

NPI number 1609829019 Active

Practice location

925 E Mcdowell Rd
Phoenix, AZ 85006-2502

Call (602) 239-4777 Map

Fax (602) 239-5806

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 1609829019

Banner Good Samaritan Outpatient Clinic's National Provider Identifier is 1609829019, issued on May 18, 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 Oct 15, 2007.