Graduated: 2021
NPI: 1144981572
Practice Locations (2)
VMD PRIMARY PROVIDERS COLORADO INC
151 W LAKE ST, SUITE 1500
FORT COLLINS, CO 805244124
9702378200
BANNER FORT COLLINS PCP LLC
3519 RICHMOND DR
FORT COLLINS, CO 805265995
9704490951
Source: CMS National Downloadable File, September 2026.