Banner Health Physicians Colorado Llc | |
1900 Boise Ave Ste 210 Loveland CO 80538-5004 | |
(970) 635-4189 | |
Not Available |
Full Name | Banner Health Physicians Colorado Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1900 Boise Ave Ste 210, Loveland, 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 1900 Boise Ave Ste 210 Loveland CO 80538-5004 Ph: (970) 635-4189 |
NPI Number | 1265793970 |
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Provider Enumeration Date | 05/30/2012 |
Last Update Date | 03/08/2022 |
Identifier | Type | State | Issuer |
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1265793970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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