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Organization

BANNER OCCUPATIONAL HEALTH

Active
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Organization

BANNER OCCUPATIONAL HEALTH

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
1800 15TH ST STE 100B, GREELEY, CO 80631-4595
(970) 350-6810
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4000

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
04/14/2009
Last updated
04/14/2009
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