BANNER FORT COLLINS PCP LLC

LONGMONT, CO
NPI1467242651
Entity TypeOrganization
Authorized ContactSHIVA BIRDI
CEO
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2025-05-09
Last Update Date2025-07-30
Business Address
BANNER FORT COLLINS PCP LLC
205 S MAIN ST STE B
LONGMONT, CO 80501-1714
Phone number: 303-772-6244
Mailing Address
BANNER FORT COLLINS PCP LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number: