| NPI | 1770094831 |
|---|---|
| Other Name | BANNER FAMILY MEDICINE BRUSH |
| Entity Type | Organization |
| Authorized Contact | LINDA THORPE CEO 970-842-6009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-03-16 |