Organization · Type 2 NPI

Banner Health Physicians Colorado LLC

Multi-Specialty Clinic/Center · Fort Collins, CO

NPI number 1003763624 Active

Practice location

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

Call (970) 821-4000 Map

Fax (970) 821-4501

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1003763624

Banner Health Physicians Colorado LLC's National Provider Identifier is 1003763624, issued on Mar 12, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 16, 2026.