Intermountain Medical Group Denver, LLC

NPI #1114531522 in Lakewood, Colorado

Provider Information

NPI Number: 1114531522
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: Sep 2, 2020
Last Updated: Dec 3, 2024

Practice Location

Address: 1726 COLE BLVD STE 350
City: Lakewood
State: Colorado
ZIP Code: 80401-3213
Phone: (303) 403-7381

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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