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Organization

BANNER HEALTH PHYSICIANS COLORADO LLC

Active
Parent organization
BANNER MEDICAL GROUP COLORADO
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER MEDICAL GROUP COLORADO
Authorized official
SHIVA BIRDI (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1230 14TH ST SW, LOVELAND, CO 80537-6324
(970) 619-3999
(970) 667-8177
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/02/2012
Last updated
04/15/2026
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