Organization · Type 2 NPI

Banner Health Physicians Colorado LLC

Clinic/Center · Longmont, CO

NPI number 1710801170 Active

Practice location

205 S Main St Ste B
Longmont, CO 80501-1714

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

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About NPI 1710801170

Banner Health Physicians Colorado LLC's National Provider Identifier is 1710801170, issued on Aug 7, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Longmont, CO. The record was last updated on Aug 7, 2026.