Banner Health Physicians West LLC

NPI #1376279976 in Cheyenne, Wyoming

Provider Information

NPI Number
1376279976
Entity Type
Organization
Organization Name
Banner Health Physicians West LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER MEDICAL GROUP COLORADO
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jul 26, 2022
Last Updated
Jul 26, 2022

Practice Location

Address
4108 LARAMIE ST
State
Wyoming
ZIP Code
82001-1969
Phone
(970) 493-1292

Authorized Official

Name
DENNIS LARAWAY
Title
CFO
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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