# INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** Gunnison Maternal Fetal Medicine Satellite Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821601725
- **Legal business name:** INTERMOUNTAIN FRONT RANGE, INC.
- **Authorized official:** JON MCDANIEL (VP FINANCE MEDICAL GROUP)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 711 N TAYLOR ST, GUNNISON, CO 81230-2208
- **Practice address phone:** (970) 641-1456
- **Practice address fax:** (970) 641-7261
- **Mailing address:** 711 N TAYLOR ST, GUNNISON, CO 81230-2208
- **Mailing address phone:** (970) 641-1456
- **Mailing address fax:** (970) 641-7261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 06/28/2024