Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCL Health At Home Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FIANCE MED GROUP)
(303) 272-0231
Entity
Organization
Contact information
Practice address
500 ELDORADO BLVD BLDG 4, BROOMFIELD, CO 80021-3408
(720) 807-4461
(720) 405-4325
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
06/28/2024
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