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Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEM INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEM INC
Authorized official
JON MCDANIEL (VP FINANCE MGPS)
(303) 272-0231
Entity
Organization
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 683-2745
Mailing address
500 ELDORADO BLVD STE 6250, BROOMFIELD, CO 80021-3421
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/28/2024
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