Organization · Type 2 NPI
Banner Health Physicians Colorado LLC
Multi-Specialty Clinic/Center · Brush, CO
NPI number
1114204542
Active
Practice location
2400 Edison St Ste 102
Brush, CO 80723-1640
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1114204542
Banner Health Physicians Colorado LLC's National Provider Identifier is 1114204542, issued on Nov 14, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Brush, CO. The record was last updated on Mar 10, 2025.