Banner Fort Collins Pcp LLC
NPI #1225828403 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1225828403
- Entity Type
- Organization
- Organization Name
- Banner Fort Collins Pcp LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BANNER MEDICAL GROUP LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 9, 2025
- Last Updated
- Jul 30, 2025
Practice Location
- Address
- 2001 S SHIELDS ST BLDG 1
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80526-1827
- Phone
- (970) 449-0352
Authorized Official
- Name
- SHIVA BIRDI, MD
- Title
- CEO
- Phone
- (602) 747-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Primary Care — Primary Care |
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