Banner Hospital Based Physicians West LLC
NPI #1619464120 in Worland, Wyoming
Provider Information
- NPI Number
- 1619464120
- Entity Type
- Organization
- Organization Name
- Banner Hospital Based Physicians West LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 19, 2018
- Last Updated
- Apr 19, 2018
Practice Location
Authorized Official
- Name
- DENNIS LARAWAY
- Title
- SR VP FINANCE
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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