Intermountain Medical Group Denver, LLC

NPI #1962270371 in Aurora, Colorado

Provider Information

NPI Number: 1962270371
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: Dec 14, 2023
Last Updated: Jun 28, 2024

Practice Location

Address: 23750 E 14TH AVE
Address 2: SUITE 250
City: Aurora
State: Colorado
ZIP Code: 80018-1973
Phone: (303) 812-5200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Obstetrics & Gynecology - Obstetrics — Obstetrics	207VX0000X
Family Medicine	207Q00000X	Primary

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