Banner Health Physicians West LLC
NPI #1568909968 in Thermopolis, Wyoming
Provider Information
- NPI Number
- 1568909968
- 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
- Jan 23, 2017
- Last Updated
- Jan 13, 2022
Practice Location
- Address
- 443 BIG HORN ST
- City
- Thermopolis
- State
- Wyoming
- ZIP Code
- 82443-2306
- Phone
- (307) 864-3137
Authorized Official
- Name
- DENNIS LARAWAY
- Title
- CFO
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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