Provider Demographics
NPI:1811359722
Name:BANNER UNIVERSITY MEDICAL CENTER TUCSON
Entity type:Organization
Organization Name:BANNER UNIVERSITY MEDICAL CENTER TUCSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENCY PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIPPERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-626-0704
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:ROOM 4303
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5070
Mailing Address - Country:US
Mailing Address - Phone:520-626-0704
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:ROOM 4303
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5070
Practice Address - Country:US
Practice Address - Phone:520-626-0704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty