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1629316641
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
WORLAND, WY
NPI
1629316641
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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
2013-01-25
Last Update Date
2022-01-28
Business Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
400 S 15TH ST
WORLAND, WY 82401-3531
Phone number: 307-347-6958
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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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