Intermountain Medical Group Denver, LLC

NPI #1063020923 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1063020923
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: General Practice
Enumeration Date: Jul 16, 2020
Last Updated: Jun 28, 2024

Practice Location

Address: 8550 W 38TH AVE STE 320
City: Wheat Ridge
State: Colorado
ZIP Code: 80033-4300
Phone: (303) 272-0566

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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