OrganizationActive
Banner Health Physicians West LLC
NPI 1528678786 · Multi-Specialty Clinic/Center · Riverton, WY
Provider details
- NPI number
- 1528678786
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group Colorado
- Authorized official
- Dennis Laraway, Chief Legal Officer
Practice location
2300 Gasser Rd
Riverton, WY 82501-2204
Phone: (307) 347-5810
Fax: (307) 347-5808
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2020-08-03
- Last updated
- 2020-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.