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1568909968
BANNER HEALTH PHYSICIANS WEST LLC
THERMOPOLIS, WY
NPI
1568909968
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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
2017-01-23
Last Update Date
2022-01-13
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
443 BIG HORN ST
THERMOPOLIS, WY 82443-2306
Phone number: 307-864-3137
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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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