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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
SCL Health Medical Group - Physical Medicine & Rehab Delta
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE MEDICAL GROUPS)
(303) 272-0231
Entity
Organization
Contact information
Practice address
296 STAFFORD LN, DELTA, CO 81416-2243
(970) 298-6005
(970) 298-7138
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
10/29/2021
Last updated
06/28/2024
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