# INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** Rocky Mountain Comprehensive Spine Center, Rocky Mountain Orthopedics - Physical Therapy, Rocky Mountain Orthopedics Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225641467
- **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:** 627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
- **Practice address phone:** (970) 242-3535
- **Practice address fax:** (970) 683-2745
- **Mailing address:** 627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
- **Mailing address phone:** (970) 242-3535
- **Mailing address fax:** (970) 683-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2020
- **Last updated:** 06/28/2024
