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Organization
BANNER MEDICAL GROUP GREELEY LLC
Active
Organization
BANNER MEDICAL GROUP GREELEY LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2001 70TH AVE, SUITE 110, GREELEY, CO 80634-4621
(970) 378-4155
(970) 378-4151
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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