Intermountain Medical Group Denver, LLC

NPI #1154967719 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1154967719
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: Nov 19, 2019
Last Updated: Jun 28, 2024

Practice Location

Address: 8550 W 38TH AVE STE 220
City: Wheat Ridge
State: Colorado
ZIP Code: 80033-4300
Phone: (303) 403-3670

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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