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1942672977
BANNER HEALTH PHYSICIANS WEST LLC
WHEATLAND, WY
NPI
1942672977
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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
2015-10-29
Last Update Date
2022-02-11
Business Address
BANNER HEALTH PHYSICIANS WEST LLC
201 14TH ST
WHEATLAND, WY 82201-3201
Phone number: 307-322-3636
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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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