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

Banner Good Samaritan Bariatric Program

Organization Clinic/Center · NPI 1134172679

Banner Good Samaritan Bariatric Program is a Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1300 N 12th St
Phoenix, AZ 85006-2850
Phone: (602) 239-5000
Fax: (602) 239-3339
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1134172679
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Dennis Dahlen — Sr Vice President - Finance · (602) 495-4000
NPI enumeratedMay 18, 2006
Last updated in NPPESOctober 15, 2007
Mailing address1441 N 12th St, Phoenix, AZ 85006-2837

Other providers in Phoenix