# INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

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- **Entity:** Organization
- **Status:** 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:** 1942814330
- **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:** 2807 ROSLYN ST, DENVER, CO 80238-2624
- **Practice address phone:** (303) 403-6400
- **Practice address fax:** (303) 318-1975
- **Mailing address:** 2803 ROSLYN ST, DENVER, CO 80238-2624
- **Mailing address phone:** (303) 403-6400
- **Mailing address fax:** (303) 318-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 08/19/2025