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Contact Information

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE
1111 E MCDOWELL RD
PHOENIX, AZ85006-2612
 Phone: 602-239-2217
 Fax: 602-239-2718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE · (Female)

NPI # 1306899356
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2006
Last updated 02/26/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 767840
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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