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Banner Greeley Specialists

Clinic/Center, Multi-Specialty in Greeley, CO. Organization (NPI-2).

NPI number1275869604
StatusActive
Last updated in NPPESOct 20, 2009

Details

NPI
1275869604
Entity type
Organization (NPI-2)
Legal business name
Banner Greeley Specialists
Organization subpart
Yes
Enumeration date
Oct 20, 2009
Last updated
Oct 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Practice location

1800 15th St
Ste 100b
Greeley, CO 80631-4500

Phone 970-350-5612

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Authorized official

Dennis E Dahlen
Sr Vp Finance
6027474000

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