Intermountain Medical Group Denver, LLC

NPI #1295320687 in Denver, Colorado

Provider Information

NPI Number: 1295320687
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: Internal Medicine - Obesity Medicine
Enumeration Date: Mar 8, 2021
Last Updated: Jun 28, 2024

Practice Location

Address: 1960 N OGDEN ST STE 550
City: Denver
State: Colorado
ZIP Code: 80218-3676
Phone: (303) 318-3240

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Surgery	208600000X
Internal Medicine - Obesity Medicine — Obesity Medicine	207RB0002X	Primary

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