Banner Greeley Specialists | |
5890 W 13th Street Suite 114 Greeley AZ 80634 | |
(970) 392-5456 | |
Not Available |
Full Name | Banner Greeley Specialists |
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Speciality | Clinic/center - Multi-specialty |
Location | 5890 W 13th Street, Greeley, Arizona |
Authorized Official Name and Position | Dennis E Dahlen (SR VP FINANCE) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Greeley Specialists 1441 North 12th Street Phoenix AZ 85006 Ph: () - | Banner Greeley Specialists 5890 W 13th Street Suite 114 Greeley AZ 80634 Ph: (970) 392-5456 |
NPI Number | 1386929198 |
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Provider Enumeration Date | 10/13/2011 |
Last Update Date | 10/13/2011 |
Identifier | Type | State | Issuer |
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1386929198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |