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1689021040
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
FORT COLLINS, CO
NPI
1689021040
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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
2016-05-16
Last Update Date
2021-12-29
Business Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
608 E HARMONY RD STE 101
FORT COLLINS, CO 80525-3210
Phone number: 970-204-9069
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Mailing Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
2901 N CENTRAL AVE
PHOENIX, AZ 85012-2700
Phone number:
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