BANNER HEALTH PHYSICIANS WEST LLC

CHEYENNE, WY
NPI1376279976
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-07-26
Last Update Date2022-07-26
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
4108 LARAMIE ST
CHEYENNE, WY 82001-1969
Phone number: 970-493-1292
Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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