Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banner Desert Medical Center

Organization Prosthetic/Orthotic Supplier · NPI 1174660435

Banner Desert Medical Center is a Prosthetic/Orthotic Supplier in Mesa, Arizona. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1400 S Dobson Rd Oncology Gift Shop Rm 1053
Mesa, AZ 85202-4707
Phone: (480) 412-5959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1174660435
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Dennis Laraway — Cfo · (602) 747-4000
Other names Jewels Garden Oncology Boutique; Jewels Garden Oncology Boutique
NPI enumeratedJanuary 30, 2007
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

Other providers in Mesa