# INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** SCLP Community Foot & Ankle Clinic, Community Foot & Ankle Clinic - DME
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730533902
- **Legal business name:** INTERMOUNTAIN FRONT RANGE, INC.
- **Authorized official:** JON MCDANIEL (VP FINANCE - MGPS OPERATIONS)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 9351 GRANT ST, STE 490, THORNTON, CO 80229-4358
- **Practice address phone:** (303) 451-5271
- **Practice address fax:** (303) 452-4398
- **Mailing address:** 9351 GRANT ST, STE 490, THORNTON, CO 80229-4358
- **Mailing address phone:** (303) 451-5271
- **Mailing address fax:** (303) 452-4398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | POD.0000520 | CO | Yes |

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 06/28/2024