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1063794170
BANNER MEDICAL GROUP GREELEY
GREELEY, CO
NPI
1063794170
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Entity Type
Organization
Authorized Contact
DENNIS E DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2011-09-14
Last Update Date
2011-09-14
Business Address
BANNER MEDICAL GROUP GREELEY
6801 W 20TH ST SUITE 201
GREELEY, CO 80634-9637
Phone number: 970-350-5828
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Mailing Address
BANNER MEDICAL GROUP GREELEY
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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