Banner Professional Services

NPI #1427370873 in Worland, Wyoming

Provider Information

NPI Number
1427370873
Entity Type
Organization
Organization Name
Banner Professional Services
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Feb 25, 2010
Last Updated
Feb 25, 2010

Practice Location

Address
400 S 15TH ST
State
Wyoming
ZIP Code
82401-3531
Phone
(307) 347-3221

Authorized Official

Name
DENNIS DAHLEN
Title
SR VP FINANCE
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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