BANNER HEALTH PHYSICIANS WEST LLC

POWELL, WY
NPI1689301103
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO Bmg
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-08-04
Last Update Date2022-08-04
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
777 AVENUE H
POWELL, WY 82435-2260
Phone number: 307-347-5810
Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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