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1598005126
BANNER HEALTH PHYSICIANS COLORADO LLC
WHEATLAND, WY
NPI
1598005126
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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
2013-02-19
Last Update Date
2022-03-03
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
201 14TH ST
WHEATLAND, WY 82201-3201
Phone number: 970-392-2135
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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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