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1295089076
BANNER HEALTH PHYSICIANS WEST LLC
GRANT, NE
NPI
1295089076
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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
2012-11-01
Last Update Date
2022-01-13
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
900 LINCOLN AVE
GRANT, NE 69140-3095
Phone number: 308-352-7200
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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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