Banner Health Physicians Colorado LLC

NPI #1336413558 in Holyoke, Colorado

Provider Information

NPI Number
1336413558
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
Mar 6, 2012
Last Updated
Mar 8, 2022

Practice Location

Address
1001 E JOHNSON ST
ZIP Code
80734-1854
Phone
(970) 854-2241

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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