BANNER MEDICAL CLINIC WHEATLAND LLC

WHEATLAND, WY
NPI1568997096
Entity TypeOrganization
Authorized ContactDENNIS DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
BANNER MEDICAL CLINIC WHEATLAND LLC
201 14TH ST
WHEATLAND, WY 82201-3201
Phone number: 307-322-3636
Mailing Address
BANNER MEDICAL CLINIC WHEATLAND LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: