Organization · Type 2 NPI
Banner Mesa Surgery Center LLC
Ambulatory Surgical Clinic/Center · Mesa, AZ
NPI number
1780109934
Active
Practice location
1500 S Dobson Rd Ste 101
Mesa, AZ 85202-4722
Fax (602) 801-3815
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1780109934
Banner Mesa Surgery Center LLC's National Provider Identifier is 1780109934, issued on Aug 9, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mesa, AZ. The record was last updated on Jul 26, 2019.