Banner Health Physicians West LLC

NPI #1689301103 in Powell, Wyoming

Provider Information

NPI Number
1689301103
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
Aug 4, 2022
Last Updated
Aug 4, 2022

Practice Location

Address
777 AVENUE H
City
Powell
State
Wyoming
ZIP Code
82435-2260
Phone
(307) 347-5810

Authorized Official

Name
SHIVA BIRDI
Title
CEO BMG
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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