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1780044222
BANNER ANESTHESIOLOGISTS WEST, LLC
FALLON, NV
NPI
1780044222
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2016-02-25
Last Update Date
2021-12-27
Business Address
BANNER ANESTHESIOLOGISTS WEST, LLC
801 E WILLIAMS AVE
FALLON, NV 89406-3052
Phone number: 775-867-7701
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Mailing Address
BANNER ANESTHESIOLOGISTS WEST, LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: 602-747-4000
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