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1639617145
BANNER HEALTH PHYSICIANS WEST LLC
WHEATLAND, WY
NPI
1639617145
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Entity Type
Organization
Authorized Contact
DENNIS DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
1356 SHIEK ST
WHEATLAND, WY 82201-3231
Phone number: 307-322-3861
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Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE
PHOENIX, AZ 85012-2700
Phone number:
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