Banner Health Physicians Colorado Llc | |
1017 W 7th St Wray CO 80758-1420 | |
(970) 332-2225 | |
Not Available |
Full Name | Banner Health Physicians Colorado Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1017 W 7th St, Wray, 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 |
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Banner Health Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians Colorado Llc 1017 W 7th St Wray CO 80758-1420 Ph: (970) 332-2225 |
NPI Number | 1306185699 |
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Provider Enumeration Date | 02/06/2013 |
Last Update Date | 03/08/2022 |
Identifier | Type | State | Issuer |
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1306185699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
The Wray Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 W 7th St, Wray, CO 80758 Phone: 970-332-4895 Fax: 970-332-3235 |