Organization
BANNER GREELEY SPECIALISTS
Active
Organization
BANNER GREELEY SPECIALISTS
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
5890 W 13TH STREET, SUITE 114, GREELEY, AZ 80634
(970) 392-5456
Mailing address
1441 NORTH 12TH STREET, PHOENIX, AZ 85006
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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