BANNER HEALTH PHYSICIANS WEST LLC

THERMOPOLIS, WY
NPI1568909968
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2017-01-23
Last Update Date2022-01-13
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
443 BIG HORN ST
THERMOPOLIS, WY 82443-2306
Phone number: 307-864-3137
Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: