BANNER HEALTH PHYSICIANS WEST LLC

RIVERTON, WY
NPI1528678786
Entity TypeOrganization
Authorized ContactDENNIS L LARAWAY
Chief Legal Officer
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2020-08-03
Last Update Date2020-08-03
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
2300 GASSER RD
RIVERTON, WY 82501-2204
Phone number: 307-347-5810
Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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