BANNER HOSPITAL BASED PHYSICIANS WEST LLC

WORLAND, WY
NPI1619464120
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
Sr VP Finance
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2018-04-19
Last Update Date2018-04-19
Business Address
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
1405 HOWELL AVE
WORLAND, WY 82401-4127
Phone number: 307-347-2555
Mailing Address
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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