Banner Anesthesiologists West, Llc | |
801 E Williams Ave Fallon NV 89406-3052 | |
(775) 867-7701 | |
Not Available |
Full Name | Banner Anesthesiologists West, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 801 E Williams Ave, Fallon, Nevada |
Authorized Official Name and Position | Dennis Laraway (CFO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Anesthesiologists West, Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 | Banner Anesthesiologists West, Llc 801 E Williams Ave Fallon NV 89406-3052 Ph: (775) 867-7701 |
NPI Number | 1780044222 |
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Provider Enumeration Date | 02/25/2016 |
Last Update Date | 12/27/2021 |
Identifier | Type | State | Issuer |
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1780044222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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