Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Banner Health Physicians Colorado LLC

Organization Multi-Specialty Clinic/Center · NPI 1053080614

Banner Health Physicians Colorado LLC is a Multi-Specialty Clinic/Center in Fort Collins, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

608 E Harmony Rd Ste 101
Fort Collins, CO 80525-3210
Phone: (970) 821-4702
Fax: (970) 744-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1053080614
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Medical Group
Authorized official Dennis Laraway — Chief Financial Officer · (602) 747-4000
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateAugust 23, 2021
Mailing address2901 N Central Ave, Phoenix, AZ 85012-2700

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