Intermountain Medical Group Denver, LLC

NPI #1568070944 in Firestone, Colorado

Provider Information

NPI Number: 1568070944
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 21, 2020
Last Updated: Jun 28, 2024

Practice Location

Address: 8350 COLORADO BLVD UNIT 160
City: Firestone
State: Colorado
ZIP Code: 80504-6803
Phone: (303) 689-5160

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
Family Medicine	207Q00000X	Primary

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