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1811252125
BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC
WINDSOR, CO
NPI
1811252125
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Entity Type
Organization
Authorized Contact
DENNIS DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC
1300 MAIN ST
WINDSOR, CO 80550-5989
Phone number: 970-348-0020
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Mailing Address
BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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