Intermountain Medical Group Denver, LLC

NPI #1114593571 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1114593571
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: Surgery
Enumeration Date: May 27, 2021
Last Updated: Jun 28, 2024

Practice Location

Address: 3455 LUTHERAN PKWY STE 220
City: Wheat Ridge
State: Colorado
ZIP Code: 80033-6029
Phone: (303) 403-3030

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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