BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI NPI 1306154943

NPI Information

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI is a multi-specialty clinic center in Bullhead City, AZ. BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI NPI is 1306154943. The provider is registered as an organization entity type.

The provider's business location address is:

2771 SILVER CREEK RD
SUITE 101
BULLHEAD CITY, AZ
ZIP 86442-959
Phone: (602) 839-4123

The provider's authorized official is Dennis E Dahlen .
The authorized official title is Sr Vp Finance and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D0877172 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 2/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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