Banner Ironwood Physicians

Organization Active NPI Multi-Specialty Clinic/Center · Queen Creek, AZ

NPI 1679880314 · NPPES record last updated Feb 2, 2011

Key facts

NPI
1679880314
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BANNER IRONWOOD PHYSICIANS
Practice address
37100 N Gantzel Road
Queen Creek, AZ 85140
Phone
(480) 394-4480
NPI assigned
Sep 1, 2010
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

Name
Dennis E Dahlen
Title
Sr VP Finance
Phone
(602) 747-4000

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
M E Lee MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

37100 N Gantzel Road
Queen Creek, AZ 85140

Mailing address

1441 N 12TH St
Phoenix, AZ 85006-2837
Phone (602) 747-4000

Other providers in Queen Creek, AZ

All providers in Queen Creek, AZ · Multi-Specialty Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.