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Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(801) 442-2647
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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