Banner Health Physicians West LLC
Banner Health Physicians West LLC is a Multi-Specialty Clinic/Center in Douglas, Wyoming. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
222 S 5th StDouglas, WY 82633-2534
Phone: (307) 358-4350
Fax: (307) 322-3861
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1598145476 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Medical Group Colorado |
| Authorized official | Dennis Laraway — Cfo · (602) 747-4000 |
| NPI enumerated | June 4, 2015 |
| Last updated in NPPES | February 11, 2022 |
| Certification date | February 11, 2022 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702 |