Organization
BANNER OCCUPATIONAL HEALTH COLORADO LLC
Active
Parent organization
BANNER MEDICAL GROUP COLORADO
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER MEDICAL GROUP COLORADO
Authorized official
PATRICK PENROSE (VP)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
(970) 350-6810
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
04/17/2026
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