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1033470737
BANNER HEALTH PHYSICIANS COLORADO LLC
JOHNSTOWN, CO
NPI
1033470737
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2012-05-30
Last Update Date
2022-01-13
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
222 JOHNSTOWN CENTER DR
JOHNSTOWN, CO 80534-9030
Phone number: 970-587-4974
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Mailing Address
BANNER HEALTH PHYSICIANS COLORADO LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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