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1609137306
BANNER HEALTH PHYSICIANS COLORADO LLC
EATON, CO
NPI
1609137306
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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
2012-05-30
Last Update Date
2022-03-03
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
100 S CHERRY AVE UNIT 1
EATON, CO 80615-8256
Phone number: 970-454-3838
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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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