Intermountain Medical Group Grand Junction, LLC

NPI #1396358578 in Basalt, Colorado

Provider Information

NPI Number: 1396358578
Entity Type: Organization
Organization Name: Intermountain Medical Group Grand Junction, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INTERMOUNTIAN FRONT RANGE, INC.
Primary Specialty: Neurological Surgery
Enumeration Date: Aug 26, 2020
Last Updated: Jun 28, 2024

Practice Location

Address: 350 MARKET ST UNIT 1
City: Basalt
State: Colorado
ZIP Code: 81621-7410
Phone: (970) 927-1141

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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