| Banner Health Physicians Colorado Llc | |
|
5890 W 13th St Ste 114 Greeley CO 80634-4821 | |
| (970) 378-1000 | |
| Not Available |
| Full Name | Banner Health Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5890 W 13th St Ste 114, Greeley, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians Colorado Llc 5890 W 13th St Ste 114 Greeley CO 80634-4821 Ph: (970) 378-1000 |
| NPI Number | 1295003366 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295003366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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