Intermountain Medical Group Denver, LLC
NPI #1821835158 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1821835158
- 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
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jul 12, 2024
- Last Updated
- Jul 12, 2024
Practice Location
- Address
- 12905 W 40TH AVE, STE 440
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80401
- Phone
- (303) 265-5780
Authorized Official
- Name
- JON MCDANIEL
- Title
- VP FINANCE
- Phone
- (303) 272-0231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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