Graduated: 2022
NPI: 1104526656
Practice Locations (2)
BANNER FORT COLLINS PCP LLC
1113 OAKRIDGE DR
FORT COLLINS, CO 805255591
9704490961
VMD PRIMARY PROVIDERS COLORADO INC
1107 S LEMAY AVE, SUITE 200
FT COLLINS, CO 805243959
9704841757
Source: CMS National Downloadable File, September 2026.