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

Banner -- University Medical Center Phoenix Campus Internal Medicine

Organization Multi-Specialty Clinic/Center · NPI 1124071162

Banner -- University Medical Center Phoenix Campus Internal Medicine is a Multi-Specialty 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 #610
Phoenix, AZ 85006-2848
Phone: (602) 239-4161
Fax: (602) 239-4233
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1124071162
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Dennis Dahlen — Sr Vice President - Finance · (602) 747-4000
NPI enumeratedMay 19, 2006
Last updated in NPPESFebruary 26, 2015
Mailing address1441 N 12th St, Phoenix, AZ 85006-2837

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