# INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN FRONT RANGE, INC.
- **Other names:** Intermountain Health Connect Care - High Risk Cancer Prevention MT, Intermountain Health Connect Care - Specialty WY, Intermountain Health Connect Care - Pain Management MT, Intermountain Health Connect Care - Specialty MT, Intermountain Health Connect Care - Pain Management WY, Intermountain Health Connect Care - High Risk Cancer Prevention WY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962397828
- **Legal business name:** INTERMOUNTAIN FRONT RANGE, INC.
- **Authorized official:** JON MCDANIEL (VP FINANCE)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 1027 N 27TH ST, BILLINGS, MT 59101-0711
- **Practice address phone:** (801) 442-2647
- **Mailing address:** 500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
- **Mailing address phone:** (303) 272-0566
- **Mailing address fax:** (303) 272-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 06/11/2025
- **Last updated:** 03/26/2026