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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 - Denver Diabetes & Endocrinology
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
1960 N OGDEN ST STE 120A, DENVER, CO 80218-3666
(303) 403-7933
(303) 403-7945
Mailing address
1960 N OGDEN ST STE 120A, DENVER, CO 80218-3666
(303) 403-7933
(303) 403-7945
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
07/12/2024
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