Banner Medical Group Greeley LLC

NPI #1679804223 in Windsor, Colorado

Provider Information

NPI Number
1679804223
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
Jan 21, 2010
Last Updated
Sep 20, 2010

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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