Organization · Type 2 NPI

Banner Medical Group Greeley LLC

Multi-Specialty Clinic/Center · Greeley, CO

NPI number 1104070333 Active

Practice location

5623 W 19th St
Greeley, CO 80634-2901

Call (970) 353-9011 Map

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1104070333

Banner Medical Group Greeley LLC's National Provider Identifier is 1104070333, issued on Nov 14, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Greeley, CO. The record was last updated on Sep 20, 2010.