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1073096475
BANNER CANCER CENTER SPECIALISTS COLORADO LLC
GREELEY, CO
NPI
1073096475
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QX0200X Clinic/Center Oncology
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
BANNER CANCER CENTER SPECIALISTS COLORADO LLC
1801 16TH ST
GREELEY, CO 80631-5154
Phone number: 970-810-4121
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Mailing Address
BANNER CANCER CENTER SPECIALISTS COLORADO LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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