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NPI Code Detail

MEDICARE: BANNER DESERT MEDICAL CENTER

MEDICARE: BANNER DESERT MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center
2261QX0200XOncology Clinic/Center
3282N00000XGeneral Acute Care HospitalH-137AZ

Other Identifiers

General Provider Information

NPI Number : 1720011810
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANNER DESERT MEDICAL CENTER
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S DOBSON RD
Second Line :
City : MESA
State : AZ
Zip : 85202-4707
Country : US
Telephone Number : 480-412-3000
Fax Number : 480-412-8711
Authorized Official
Title or Position : CEO
Name : LAURA ROBERTSON
Credential :
Telephone Number : 480-412-3000
Provider Enumeration Date : 07/09/2006
Last Update Date : 04/17/2026

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Directions to “BANNER DESERT MEDICAL CENTER ” Practice Location

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