Banner Health Physicians West LLC

NPI #1639617145 in Wheatland, Wyoming

Provider Information

NPI Number
1639617145
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
Feb 3, 2017
Last Updated
Feb 3, 2017

Practice Location

Address
1356 SHIEK ST
State
Wyoming
ZIP Code
82201-3231
Phone
(307) 322-3861

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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