Banner Health Physicians Colorado LLC

NPI #1609137306 in Eaton, Colorado

Provider Information

NPI Number
1609137306
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
May 30, 2012
Last Updated
Mar 3, 2022

Practice Location

Address
100 S CHERRY AVE UNIT 1
City
Eaton
ZIP Code
80615-8256
Phone
(970) 454-3838

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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