| Banner Health Physicians Colorado LLC | |
|
4700 Lady Moon Dr Fort Collins CO 80528-4426 | |
| (970) 821-4000 | |
| (970) 821-4501 |
| Full Name | Banner Health Physicians Colorado LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4700 Lady Moon Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Shiva Birdi (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians Colorado LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (408) 768-3596 | Banner Health Physicians Colorado LLC 4700 Lady Moon Dr Fort Collins CO 80528-4426 Ph: (970) 821-4000 |
| NPI Number | 1003763624 |
|---|---|
| Provider Enumeration Date | 03/12/2026 |
| Last Update Date | 07/16/2026 |
| Certification Date | 07/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003763624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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