Organization · Type 2 NPI

Banner Hospital Based Physicians Colorado LLC

Multi-Specialty Clinic/Center · Greeley, CO

NPI number 1104164136 Active

Practice location

2001 70th Ave
Greeley, CO 80634-4621

Call (970) 392-2135 Map

Fax (970) 392-3825

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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

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About NPI 1104164136

Banner Hospital Based Physicians Colorado LLC's National Provider Identifier is 1104164136, issued on Jan 25, 2013. 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 Apr 20, 2023.