| Banner Greeley Specialists | |
|
5890 W 13th Street Suite 114 Greeley AZ 80634 | |
| (970) 392-5456 | |
| Not Available |
| Full Name | Banner Greeley Specialists |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5890 W 13th Street, Greeley, Arizona |
| Authorized Official Name and Position | Dennis E Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Greeley Specialists 1441 North 12th Street Phoenix AZ 85006 Ph: () - | Banner Greeley Specialists 5890 W 13th Street Suite 114 Greeley AZ 80634 Ph: (970) 392-5456 |
| NPI Number | 1386929198 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386929198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |