| Banner Colorado Specialty Clinic | |
|
1801 16th St Greeley CO 80631-5154 | |
| (970) 352-4121 | |
| (970) 350-6140 |
| Full Name | Banner Colorado Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1801 16th St, Greeley, Colorado |
| Authorized Official Name and Position | Dennis E Dahlen (SR VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Colorado Specialty Clinic 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Colorado Specialty Clinic 1801 16th St Greeley CO 80631-5154 Ph: (970) 352-4121 |
| NPI Number | 1811944390 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 10/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811944390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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