Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
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
3455 LUTHERAN PKWY STE 285, WHEAT RIDGE, CO 80033-6034
(303) 403-6628
(303) 403-6240
Mailing address
3455 LUTHERAN PKWY STE 285, WHEAT RIDGE, CO 80033-6034
(303) 403-6628
(303) 403-6240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
06/28/2024
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