Graduated: 2018
NPI: 1699247155
Practice Locations (5)
BANNER FORT COLLINS PCP LLC
3519 RICHMOND DR
FORT COLLINS, CO 805265995
9704490951
VMD PRIMARY PROVIDERS COLORADO INC
3519 RICHMOND DR
FORT COLLINS, CO 805265995
9702040300
BANNER FORT COLLINS PCP LLC
205 S MAIN ST, SUITE B
LONGMONT, CO 805011714
3037726244
BANNER FORT COLLINS PCP LLC
1683 MAIN ST
WINDSOR, CO 805507921
9704007618
VMD PRIMARY PROVIDERS COLORADO INC
1683 MAIN ST
WINDSOR, CO 805507921
9706744992
Source: CMS National Downloadable File, September 2026.