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1154768042
BANNER HEALTH PHYSICIANS WEST LLC
HAWTHORNE, NV
NPI
1154768042
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2013-05-31
Last Update Date
2022-01-13
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
200 SOUTH A STREET
HAWTHORNE, NV 89415
Phone number: 775-423-3151
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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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