Banner Health Physicians Colorado LLC

NPI #1073851085 in Haxtun, Colorado

Provider Information

NPI Number
1073851085
Entity Type
Organization
Organization Name
Banner Health Physicians Colorado LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP COLORADO
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jan 25, 2013
Last Updated
Jan 13, 2022

Practice Location

Address
235 W FLETCHER ST
City
Haxtun
ZIP Code
80731-2737
Phone
(970) 774-6123

Authorized Official

Name
DENNIS LARAWAY
Title
CFO
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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