BANNER FORT COLLINS PCP LLC

FORT COLLINS, CO
NPI1013707207
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
Enumeration Date2025-05-09
Last Update Date2025-07-30
Business Address
BANNER FORT COLLINS PCP LLC
3519 RICHMOND DR
FORT COLLINS, CO 80526-5995
Phone number: 970-449-0951
Mailing Address
BANNER FORT COLLINS PCP LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: