Banner Health Physicians Colorado LLC

NPI #1518559863 in Timnath, Colorado

Provider Information

NPI Number
1518559863
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
Feb 8, 2021
Last Updated
Feb 8, 2021

Practice Location

Address
4650 SIGNAL TREE DR UNIT B200
ZIP Code
80547-4911
Phone
(970) 821-3830

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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