Banner Health Physicians Colorado Llc | |
300 Exempla Cir Ste 200 Lafayette CO 80026-3391 | |
(970) 378-4433 | |
Not Available |
Full Name | Banner Health Physicians Colorado Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 300 Exempla Cir Ste 200, Lafayette, Colorado |
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 Health Physicians Colorado Llc 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Health Physicians Colorado Llc 300 Exempla Cir Ste 200 Lafayette CO 80026-3391 Ph: (970) 378-4433 |
NPI Number | 1841577392 |
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Provider Enumeration Date | 11/11/2011 |
Last Update Date | 03/01/2016 |
Identifier | Type | State | Issuer |
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1841577392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |