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1104070333
BANNER MEDICAL GROUP GREELEY LLC
GREELEY, CO
NPI
1104070333
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Entity Type
Organization
Authorized Contact
DENNIS DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2008-11-14
Last Update Date
2010-09-20
Business Address
BANNER MEDICAL GROUP GREELEY LLC
5623 W 19TH ST
GREELEY, CO 80634-2901
Phone number: 970-353-9011
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Mailing Address
BANNER MEDICAL GROUP GREELEY LLC
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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