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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
Wheat Ridge Clinic - Occupational Medicine, Wheat Ridge Clinic - Physical Therapy, Wheat Ridge Clinic - Orthopedic Trauma
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP OF FIANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
8550 W 38TH AVE STE 100, WHEAT RIDGE, CO 80033-4341
(303) 467-4100
(303) 403-6901
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
Other
Enumeration date
04/20/2021
Last updated
06/28/2024
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