Banner Hospital Based Physicians West LLC

NPI #1851196158 in Fallon, Nevada

Provider Information

NPI Number
1851196158
Entity Type
Organization
Organization Name
Banner Hospital Based Physicians West LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Feb 19, 2025
Last Updated
Feb 19, 2025

Practice Location

Address
801 E WILLIAMS AVE
City
Fallon
State
Nevada
ZIP Code
89406-3052
Phone
(775) 423-3151

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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