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1306185699
BANNER HEALTH PHYSICIANS COLORADO LLC
WRAY, CO
NPI
1306185699
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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
2013-02-06
Last Update Date
2022-03-08
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
1017 W 7TH ST
WRAY, CO 80758-1420
Phone number: 970-332-2225
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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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