OrganizationActive
Banner Cancer Center Specialists Colorado LLC
NPI 1073096475 · Oncology Clinic/Center · Greeley, CO
Provider details
- NPI number
- 1073096475
- Entity type
- Organization
- Primary specialty
- Oncology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group Colorado
- Authorized official
- Dennis Laraway, Cfo
Practice location
1801 16th St
Greeley, CO 80631-5154
Phone: (970) 810-4121
Fax: (970) 350-6140
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2018-09-11
- Last updated
- 2018-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.