BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS NPI 1770762635

NPI Information

NPI: 1770762635
Provider Name: BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address: 6750 E BAYWOOD AVE
SUITE 504
MESA, AZ
ZIP 85206
Phone: (480) 461-2409

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NPI Details

BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS is a thoracic surgery cardiothoracic vascular surgery in Mesa, AZ. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS NPI is 1770762635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6750 E BAYWOOD AVE
SUITE 504
MESA, AZ
ZIP 85206-749
Phone: (480) 461-2409

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

The enumeration date for this NPI number is 10/29/2007 and was last updated on 10/29/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)				Yes

What is NPI?

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This page was last updated on: 11/21/2025

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