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1366196644
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
LOVELAND, CO
NPI
1366196644
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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
2022-02-07
Last Update Date
2022-02-07
Business Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
2000 BOISE AVE STE A
LOVELAND, CO 80538-5006
Phone number: 970-810-3894
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Mailing Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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