Banner Mountain Vista Orthopaedic Medical Clinic
Banner Mountain Vista Orthopaedic Medical Clinic is a Multi-Specialty Clinic/Center in Brush, Colorado. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
2400 Edison StBrush, CO 80723-1640
Phone: (970) 348-0020
Fax: (970) 348-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1639434954 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Health |
| Authorized official | Dennis Dahlen — Sr Vp Finance · (602) 747-4000 |
| NPI enumerated | July 12, 2012 |
| Last updated in NPPES | July 12, 2012 |
| Mailing address | 1441 N 12th St, Phoenix, AZ 85006-2837 |
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