Organization · Type 2 NPI

Banner Greeley Specialists

Multi-Specialty Clinic/Center · Lafayette, CO

NPI number 1154654804 Active

Practice location

300 Exempla Cir, Suite 200
Lafayette, CO 80026-3397

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...

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About NPI 1154654804

Banner Greeley Specialists's National Provider Identifier is 1154654804, issued on Sep 14, 2009. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Lafayette, CO. The record was last updated on Sep 14, 2009.