Banner Medical Clinic Torrington LLC

NPI #1871034637 in Torrington, Wyoming

Provider Information

NPI Number
1871034637
Entity Type
Organization
Organization Name
Banner Medical Clinic Torrington LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Mar 13, 2017
Last Updated
Apr 13, 2017

Practice Location

Address
625 ALBANY AVE
State
Wyoming
ZIP Code
82240-1530
Phone
(307) 532-2107

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Rural HealthRural Health

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