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BANNER HEALTH PHYSICIANS WEST LLC

Organization (NPI-2) Active

Clinic/Center, Multi-Specialty

Provider Information

NPI Number
1689301103
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
777 AVENUE H, POWELL, WY, 824352260
Phone
(307) 347-5810
Fax
(307) 347-5808

Specialties & Taxonomies

Clinic/Center, Multi-Specialty Primary

All Addresses

MAILING

2901 N CENTRAL AVE STE 160

PHOENIX, AZ, 850122702

LOCATION

777 AVENUE H

POWELL, WY, 824352260

(307) 347-5810