Banner Medical Group Greeley

NPI 1063794170 - Clinic/Center - 261QM1300X

NPI Details
NPI 1063794170
Enumeration Date 09/14/2011
Last Updated 09/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DENNIS E DENNIS
Position SR VP FINANCE
Phone (970) 350-5828
Fax
Practice Location
6801 W 20TH ST
SUITE 201
GREELEY CO, 80634-9637, US
Phone (970) 350-5828
Fax
Business Location
1441 N 12TH ST
PHOENIX AZ, 85006-2837, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Banner Medical Group Greeley NPI is 1063794170, taxonomy code is 261QM1300X Banner Medical Group Greeley physically located at 6801 W 20th St, Greeley CO, 80634-9637. NPI Number 1033115704 has the healthcare provider type.

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1063794170 NPI number is provided on an as is basis without warranty of any kind. 1063794170 is maintained by the National Plan & Provider Enumeration System. The contents of Banner Medical Group Greeley are for informational purposes only.