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Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
St Mary's Regional Hospital Nephrology Clinic
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
2635 N 7TH ST STE 20, GRAND JUNCTION, CO 81501-8209
(970) 298-7106
(970) 298-7177
Mailing address
2635 N 7TH ST STE 20, GRAND JUNCTION, CO 81501-8209
(970) 298-7106
(970) 298-7177
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
06/28/2024
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