Banner Health Physicians Colorado LLC

NPI #1710316237 in Grant, Nebraska

Provider Information

NPI Number
1710316237
Entity Type
Organization
Organization Name
Banner Health Physicians Colorado LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Nov 5, 2013
Last Updated
Mar 3, 2022

Practice Location

Address
900 LINCOLN AVE
City
Grant
ZIP Code
69140-3095
Phone
(308) 352-7200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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