Healthcare Provider Details

I. General information

NPI: 1174434823
Provider Name (Legal Business Name): BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18250 N HAYDEN RD STE 101
SCOTTSDALE AZ
85255
US

IV. Provider business mailing address

2901 N CENTRAL AVE STE 160
PHOENIX AZ
85012-2702
US

V. Phone/Fax

Practice location:
  • Phone: 480-771-2744
  • Fax:
Mailing address:
  • Phone: 602-747-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: PARIS LABRUZZO
Title or Position: SR. DIRECTOR
Credential:
Phone: 408-768-3596