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Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCL Health Medical Group - Central Park OB-GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE MEDICAL GROUP)
(303) 272-0231
Entity
Organization
Contact information
Practice address
2823 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6333
(303) 403-6333
Mailing address
2823 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6333
(303) 403-6325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
09/02/2020
Last updated
06/28/2024
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