Banner Health Physicians West LLC
NPI #1063778728 in Torrington, Wyoming
Provider Information
- NPI Number
- 1063778728
- Entity Type
- Organization
- Organization Name
- Banner Health Physicians West LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 6, 2012
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 625 ALBANY AVE
- City
- Torrington
- State
- Wyoming
- ZIP Code
- 82240-1530
- Phone
- (307) 532-2107
Authorized Official
- Name
- SHIVA BIRDI
- Title
- CEO BMG
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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