# INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** Matchett Park Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942124342
- **Legal business name:** INTERMOUNTAIN FRONT RANGE, INC.
- **Authorized official:** CHRISTOPHER AWTREY (ASSOCIATE CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (303) 272-0756

## Contact information

- **Practice address:** 2836 RECREATION WAY STE A, GRAND JUNCTION, CO 81506-6025
- **Practice address phone:** (970) 298-2710
- **Mailing address:** 500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 08/07/2026
- **Last updated:** 08/07/2026