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1154687812
BANNER HEALTH PHYSICIANS WEST LLC
OGALLALA, NE
NPI
1154687812
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Entity Type
Organization
Authorized Contact
SHIVA BIRDI
CEO Bmg
480-256-3336
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2012-04-06
Last Update Date
2023-04-04
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
2601 N SPRUCE ST
OGALLALA, NE 69153-2465
Phone number: 308-284-3645
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Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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