Provider First Line Business Practice Location Address:
BANNER HEALTH, NORTH COLORADO MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1601 18TH STREET
Provider Business Practice Location Address City Name:
GREENLEY
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-464-6204
Provider Business Practice Location Address Fax Number:
315-464-6229
Provider Enumeration Date:
05/18/2010