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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 - MGPS OPERATIONS)
(303) 272-0231
Entity
Organization

Contact information

Practice address
1960 N OGDEN ST STE 110, DENVER, CO 80218-3667
(303) 318-2460
(303) 318-2489
Mailing address
500 ELDORADO BLVD STE 6250, BROOMFIELD, CO 80021-3421
(855) 851-4127
(303) 272-0390

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207VM0101X
Maternal & Fetal Medicine Physician
207X00000X
Orthopaedic Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician
208200000X
Plastic Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
261QR0206X
Mammography Clinic/Center

Other

Enumeration date
07/22/2014
Last updated
03/26/2026
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