Intermountain Medical Group Denver, LLC

NPI #1003514639 in Lafayette, Colorado

Provider Information

NPI Number: 1003514639
Entity Type: Organization
Organization Name: Intermountain Medical Group Denver, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INTERMOUNTAIN FRONT RANGE, INC.
Primary Specialty: Neurological Surgery
Enumeration Date: Feb 22, 2023
Last Updated: Jun 28, 2024

Practice Location

Address: 340 EXEMPLA CIR STE 300
City: Lafayette
State: Colorado
ZIP Code: 80026-3384
Phone: (303) 673-1390

Authorized Official

Name: JON MCDANIEL
Title: VP FINANCE
Phone: (303) 272-0231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Neurological Surgery	207T00000X	Primary

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