Intermountain Medical Group Denver, LLC
NPI #1922715101 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1922715101
- 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
- Neurological Surgery
- Enumeration Date
- Oct 28, 2022
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 3455 LUTHERAN PKWY STE 280
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-6041
- Phone
- (303) 403-6628
Authorized Official
- Name
- JON MCDANIEL
- Title
- VP FIANCE
- Phone
- (303) 272-0231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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