Intermountain Medical Group Denver, LLC

NPI #1326651480 in Lafayette, Colorado

Provider Information

NPI Number: 1326651480
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: Aug 28, 2020
Last Updated: Jun 28, 2024

Practice Location

Address: 2600 CAMPUS DR STE A
City: Lafayette
State: Colorado
ZIP Code: 80026-3358
Phone: (303) 673-1900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Family Medicine	207Q00000X	Primary

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