Organization · Type 2 NPI

Banner Health Physicians West LLC

Multi-Specialty Clinic/Center · Riverton, WY

NPI number 1528678786 Active

Practice location

2300 Gasser Rd
Riverton, WY 82501-2204

Fax (307) 347-5808

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1528678786

Banner Health Physicians West LLC's National Provider Identifier is 1528678786, issued on Aug 3, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Riverton, WY. The record was last updated on Aug 3, 2020.