Banner Health Physicians Colorado LLC
NPI #1053080614 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1053080614
- Entity Type
- Organization
- Organization Name
- Banner Health Physicians Colorado LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 608 E HARMONY RD STE 101
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-3210
- Phone
- (970) 821-4702
Authorized Official
- Name
- DENNIS L LARAWAY
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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