# INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** SCL Health Heart & Vascular Institute - Denver Cardiac & Thoracic Surg
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083228472
- **Legal business name:** INTERMOUNTAIN FRONT RANGE, INC.
- **Authorized official:** JON MCDANIEL (VP FINANCE MEDICAL GROUP)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 1960 N OGDEN ST STE 540, DENVER, CO 80218-3671
- **Practice address phone:** (303) 318-2440
- **Practice address fax:** (303) 318-2485
- **Mailing address:** 1960 N OGDEN ST STE 540, DENVER, CO 80218-3671
- **Mailing address phone:** (303) 318-2440
- **Mailing address fax:** (303) 318-2485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 06/28/2024