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1518559863
BANNER HEALTH PHYSICIANS COLORADO LLC
TIMNATH, CO
NPI
1518559863
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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
2021-02-08
Last Update Date
2021-02-08
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
4650 SIGNAL TREE DR UNIT B200
TIMNATH, CO 80547-4911
Phone number: 970-821-3830
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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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