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1992018113
BANNER MEDICAL GROUP GREELEY LLC
GREELEY, CO
NPI
1992018113
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Entity Type
Organization
Authorized Contact
DENNIS E DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2010-07-16
Last Update Date
2010-07-16
Business Address
BANNER MEDICAL GROUP GREELEY LLC
2001 70TH AVE SUITE 110
GREELEY, CO 80634-4621
Phone number: 970-378-4155
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Mailing Address
BANNER MEDICAL GROUP GREELEY LLC
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-747-4000
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