Banner Medical Group Greeley LLC

NPI #1841441870 in Eaton, Colorado

Provider Information

NPI Number
1841441870
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
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
100 S CHERRY AVE
Address 2
UNIT 1
City
Eaton
ZIP Code
80615-8255
Phone
(970) 454-1265

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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