Intermountain Medical Group Denver, LLC

NPI #1043973902 in Arvada, Colorado

Provider Information

NPI Number: 1043973902
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: Family Medicine
Enumeration Date: Oct 18, 2021
Last Updated: Jun 28, 2024

Practice Location

Address: 15389 W 91ST DR STE 100
City: Arvada
State: Colorado
ZIP Code: 80007-1400
Phone: (303) 603-9300

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Podiatric — Podiatric	261QP1100X
Family Medicine	207Q00000X	Primary

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