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1801134812
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
WHEATLAND, WY
NPI
1801134812
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Entity Type
Organization
Authorized Contact
DENNIS DAHLEN
Sr VP Finance
602-474-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2013-01-25
Last Update Date
2013-01-25
Business Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
201 14TH ST
WHEATLAND, WY 82201-3201
Phone number: 970-392-2135
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Mailing Address
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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