Banner Health Physicians West LLC
NPI #1881950541 in Susanville, California
Provider Information
- NPI Number
- 1881950541
- Entity Type
- Organization
- Organization Name
- Banner Health Physicians West LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 6, 2012
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 1800 SPRING RIDGE DR
- City
- Susanville
- State
- California
- ZIP Code
- 96130-6100
- Phone
- (530) 252-2225
Authorized Official
- Name
- DENNIS LARAWAY
- Title
- CFO
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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