Banner Hospital Based Physicians Colorado Llc | |
608 E Harmony Rd Ste 101 Fort Collins CO 80525-3210 | |
(970) 204-9069 | |
Not Available |
Full Name | Banner Hospital Based Physicians Colorado Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 608 E Harmony Rd Ste 101, Fort Collins, 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 Hospital Based Physicians Colorado Llc 2901 N Central Ave Phoenix AZ 85012-2700 Ph: () - | Banner Hospital Based Physicians Colorado Llc 608 E Harmony Rd Ste 101 Fort Collins CO 80525-3210 Ph: (970) 204-9069 |
NPI Number | 1689021040 |
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Provider Enumeration Date | 05/16/2016 |
Last Update Date | 12/29/2021 |
Identifier | Type | State | Issuer |
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1689021040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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