Intermountain Medical Group Denver, LLC

NPI #1194696492 in Cody, Wyoming

Provider Information

NPI Number: 1194696492
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 17, 2025
Last Updated: Sep 17, 2025

Practice Location

Address: 424 YELLOWSTONE AVE STE 130
City: Cody
State: Wyoming
ZIP Code: 82414-9309
Phone: (801) 442-5502

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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