Banner Health Physicians West LLC

NPI #1831845999 in Fallon, Nevada

Provider Information

NPI Number
1831845999
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 28, 2022
Last Updated
Feb 28, 2022

Practice Location

Address
801 E WILLIAMS AVE STE 3310
City
Fallon
State
Nevada
ZIP Code
89406-3052
Phone
(775) 867-7758

Authorized Official

Name
DENNIS LARAWAY
Title
CHIEF FINANCIAL OFFICER
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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