Intermountain Medical Group Denver, LLC

NPI #1811378037 in Broomfield, Colorado

Provider Information

NPI Number: 1811378037
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: Clinic/Center
Enumeration Date: Jun 12, 2015
Last Updated: Jul 12, 2024

Practice Location

Address: 500 ELDORADO BLVD
Address 2: BLDG 6, STE 6250
City: Broomfield
State: Colorado
ZIP Code: 80021-3408
Phone: (303) 272-0811

Authorized Official

Name: LYNNETTE GREEN
Title: INSURANCE REP
Phone: (303) 272-0811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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