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1275913105
BANNER HEALTH PHYSICIANS WEST LLC
GUERNSEY, WY
NPI
1275913105
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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
2015-06-05
Last Update Date
2022-01-13
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
1 E WHALEN STREET
GUERNSEY, WY 82214
Phone number: 307-322-3861
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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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