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1881950541
BANNER HEALTH PHYSICIANS WEST LLC
SUSANVILLE, CA
NPI
1881950541
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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
2012-04-06
Last Update Date
2022-02-11
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
1800 SPRING RIDGE DR
SUSANVILLE, CA 96130-6100
Phone number: 530-252-2225
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Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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