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1194121293
BANNER HEALTH PHYSICIANS COLORADO LLC
FORT COLLINS, CO
NPI
1194121293
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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
2014-11-17
Last Update Date
2022-03-03
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
4700 LADY MOON DR
FORT COLLINS, CO 80528-4426
Phone number: 970-229-4500
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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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