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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