Banner Mountain Vista Orthopaedic Medical Clinic

NPI #1639434954 in Brush, Colorado

Provider Information

NPI Number
1639434954
Entity Type
Organization
Organization Name
Banner Mountain Vista Orthopaedic Medical Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jul 12, 2012
Last Updated
Jul 12, 2012

Practice Location

Address
2400 EDISON ST
City
Brush
ZIP Code
80723-1640
Phone
(970) 348-0020

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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