Organization · Type 2 NPI

Banner Medical Group Greeley LLC

Multi-Specialty Clinic/Center · Johnstown, CO

NPI number 1386817880 Active

Practice location

222 Johnstown Center Dr
Johnstown, CO 80534-9030

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 1386817880

Banner Medical Group Greeley LLC's National Provider Identifier is 1386817880, issued on Apr 7, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Johnstown, CO. The record was last updated on Dec 16, 2008.