Intermountain Medical Group Denver, LLC

NPI #1407465107 in Thornton, Colorado

Provider Information

NPI Number: 1407465107
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: Jul 28, 2020
Last Updated: Jun 28, 2024

Practice Location

Address: 1181 E 120TH AVE UNIT A
City: Thornton
State: Colorado
ZIP Code: 80233-5729
Phone: (303) 673-1500

Authorized Official

Name: JON MCDANIEL
Title: VP FIANCE MGPS OPERATIONS
Phone: (303) 272-0231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Family Medicine	207Q00000X	Primary

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