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1932682077
BANNER CANCER CENTER SPECIALISTS COLORADO LLC
LOVELAND, CO
NPI
1932682077
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QX0200X Clinic/Center, Oncology
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
BANNER CANCER CENTER SPECIALISTS COLORADO LLC
2050 BOISE AVE UNIT B
LOVELAND, CO 80538-5036
Phone number: 970-810-6680
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Mailing Address
BANNER CANCER CENTER SPECIALISTS COLORADO LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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