BANNER HEALTH PHYSICIANS WEST LLC

DOUGLAS, WY
NPI1598145476
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2015-06-04
Last Update Date2022-02-11
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
222 S 5TH ST
DOUGLAS, WY 82633-2534
Phone number: 307-358-4350
Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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