| Banner Greeley Anesthesia | |
|
5890 W 13th St Ste 102 Greeley CO 80634-4821 | |
| (970) 348-0090 | |
| (970) 348-0080 |
| Full Name | Banner Greeley Anesthesia |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5890 W 13th St Ste 102, Greeley, Colorado |
| Authorized Official Name and Position | Dennis Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Greeley Anesthesia 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Greeley Anesthesia 5890 W 13th St Ste 102 Greeley CO 80634-4821 Ph: (970) 348-0090 |
| NPI Number | 1174886758 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174886758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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