Big Thompson Medical Group Inc.

NPI #1013208966 in Loveland, Colorado

Provider Information

NPI Number: 1013208966
Entity Type: Organization
Organization Name: Big Thompson Medical Group Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BANNER HEALTH
Primary Specialty: Clinic/Center
Enumeration Date: Apr 27, 2011
Last Updated: May 10, 2011

Practice Location

Address: 1647 E 18TH ST
City: Loveland
State: Colorado
ZIP Code: 80538-4209
Phone: (970) 378-4155

Authorized Official

Name: DENNIS E DAHLEN
Title: SR VP FINANCE
Phone: (602) 747-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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