Organization · Type 2 NPI

Banner Hospital Based Physicians Colorado LLC

Multi-Specialty Clinic/Center · Wheatland, WY

NPI number 1801134812 Active

Practice location

201 14th St
Wheatland, WY 82201-3201

Fax (970) 378-3825

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...

16 other providers at this address

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About NPI 1801134812

Banner Hospital Based Physicians Colorado LLC's National Provider Identifier is 1801134812, issued on Jan 25, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wheatland, WY. The record was last updated on Jan 25, 2013.