Intermountain Medical Group Denver, LLC
NPI #1053083618 in Broomfield, Colorado
Provider Information
- NPI Number
- 1053083618
- 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
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 1, 2021
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 500 ELDORADO BLVD BLDG 4
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021-3408
- Phone
- (720) 807-4461
Authorized Official
- Name
- JON MCDANIEL
- Title
- VP FIANCE MED GROUP
- Phone
- (303) 272-0231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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