OrganizationActive
Banner Anesthesiologists West, LLC
NPI 1780044222 · Multi-Specialty Clinic/Center · Fallon, NV
Provider details
- NPI number
- 1780044222
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group
- Authorized official
- Dennis Laraway, Cfo
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2016-02-25
- Last updated
- 2021-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.