Banner Good Samaritan Liver Disease Center

Specialty details in registry · Payson, AZ

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At a glance

117 E Main St, Payson, AZ 85541-5293

NPPES record updated Mar 3, 2015. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

117 E Main St Suite A
Payson, AZ 85541-5293

Professional details: NPI, taxonomy & registry record

NPI1154639797

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM1300X
Enumeration date: Sep 16, 2010
Record updated: Mar 3, 2015

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

117 E Main St
Suite A
Payson, AZ 85541-5293

Phone: (602) 839-4123

Mailing address

1441 N 12TH ST

PHOENIX, AZ 850062837

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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