Organization
BANNER HOSPITAL BASED PHYSICIANS COLORADO
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
SHIVA BIRDI (CEO BMG)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1800 15TH ST STE 130, GREELEY, CO 80631-4595
(602) 747-4000
Mailing address
1800 15TH ST STE 130, GREELEY, CO 80631-4595
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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