Noco Newco, LLC

NPI #1518439223 in Windsor, Colorado

Provider Information

NPI Number
1518439223
Entity Type
Organization
Organization Name
Noco Newco, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP COLORADO
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Dec 19, 2018
Last Updated
Dec 19, 2018

Practice Location

Address
1300 MAIN ST
ZIP Code
80550-5989
Phone
(970) 686-5646

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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