Banner Medical Group Greeley LLC

NPI #1386817880 in Johnstown, Colorado

Provider Information

NPI Number
1386817880
Entity Type
Organization
Organization Name
Banner Medical Group Greeley LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Apr 7, 2008
Last Updated
Dec 16, 2008

Practice Location

Address
222 JOHNSTOWN CENTER DR
ZIP Code
80534-9030
Phone
(970) 587-4974

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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Provider Name
Banner Health Physicians Colorado LLC

Part of Banner Medical Group Colorado

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