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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
Central Park Clinic - Occupational Medicine, Central Park Clinic - Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE MEDICAL GROUP)
(303) 272-0231
Entity
Organization
Contact information
Practice address
2807 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6400
(303) 318-1975
Mailing address
2803 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6400
(303) 318-1975
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/02/2020
Last updated
08/19/2025
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