institution
Banner Good Samaritan Bariatric Program
Clinic/Center in Phoenix, Arizona
NPI 1134172679

Banner Good Samaritan Bariatric Program is a Clinic/Center based in Phoenix, AZ. Banner Good Samaritan Bariatric Program practices in Phoenix, AZ. The NPI Number for Banner Good Samaritan Bariatric Program is 1134172679 and holds a License No. (Arizona).

The current practice location address for Banner Good Samaritan Bariatric Program is 1300 N 12Th St, Phoenix, AZ and can be reached out via phone at 602-239-5000 and via fax at 602-239-3339.

Location: 1300 N 12Th St, Phoenix, AZ, 85006-2837
institution
Provider Profile Details
NPI Number
1134172679
Provider Name
Banner Good Samaritan Bariatric Program
Credential
Provider Entity Type
Organization
Address
1300 N 12Th St, Phoenix, AZ, 85006-2837
Phone Number
602-239-5000
Fax Number
602-239-3339
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
810871 05 AZ
institution
Provider Business Practice Location Address Details
Address
1300 N 12Th St
City
State
Zip
85006-2850
Phone Number
602-239-5000
Fax Number
602-239-3339
person
Provider Business Mailing Address Details
Address
1300 N 12Th St
City
State
Zip
85006-2850
Phone Number
602-239-5000
Fax Number
602-239-3339
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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