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1265022578
BANNER MEDICAL GROUP COLORADO ADULT SLEEP, LLC
LOVELAND, CO
NPI
1265022578
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
BANNER MEDICAL GROUP COLORADO ADULT SLEEP, LLC
1825 E 18TH ST STE C
LOVELAND, CO 80538-4255
Phone number: 970-820-4078
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Mailing Address
BANNER MEDICAL GROUP COLORADO ADULT SLEEP, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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