BANNER HEALTH PHYSICIANS WEST LLC

WHEATLAND, WY
NPI1942672977
Entity TypeOrganization
Authorized ContactDENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2015-10-29
Last Update Date2022-02-11
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
201 14TH ST
WHEATLAND, WY 82201-3201
Phone number: 307-322-3636
Mailing Address
BANNER HEALTH PHYSICIANS WEST LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: