Banner Health Physicians Colorado Llc | |
1300 Main St Windsor CO 80550-5989 | |
(970) 378-4475 | |
Not Available |
Full Name | Banner Health Physicians Colorado Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1300 Main St, Windsor, 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 1300 Main St Windsor CO 80550-5989 Ph: (970) 378-4475 |
NPI Number | 1831476381 |
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Provider Enumeration Date | 11/11/2011 |
Last Update Date | 11/12/2012 |
Identifier | Type | State | Issuer |
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1831476381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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