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1619464120
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
WORLAND, WY
NPI
1619464120
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
1405 HOWELL AVE
WORLAND, WY 82401-4127
Phone number: 307-347-2555
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Mailing Address
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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