Berthoud Family Physicians

NPI #1124056783 in Berthoud, Colorado

Provider Information

NPI Number
1124056783
Entity Type
Organization
Organization Name
Berthoud Family Physicians
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 30, 2006
Last Updated
Oct 22, 2007

Practice Location

Address
401 10TH ST
ZIP Code
80513-1381
Phone
(970) 532-4910

Authorized Official

Name
DENNIS DAHLEN
Title
SR VICE PRESIDENT FINANCE
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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