BANNER -- UNIVERSITY MEDICAL GROUP NPI 1568818649

NPI Information

BANNER -- UNIVERSITY MEDICAL GROUP is an adult mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BANNER -- UNIVERSITY MEDICAL GROUP NPI is 1568818649. The provider is registered as an organization entity type.
The provider Is Doing Business As Whole Health Clinic.

The provider's business location address is:

535 N WILMOT RD
TUCSON, AZ
ZIP 85711-600
Phone: (520) 694-1234

The provider's authorized official is Dennis 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 03D2021819 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2016 and was last updated on 6/6/2016.

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:

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