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1174884274
BANNER HEALTH PHYSICIANS COLORADO LLC
FORT COLLINS, CO
NPI
1174884274
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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
2012-06-05
Last Update Date
2022-02-11
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
608 E HARMONY RD STE 101
FORT COLLINS, CO 80525-3210
Phone number: 970-204-9069
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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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