Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAN FRONT RANGE, INC.
Other names
Wellington OB-GYN Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FIANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
2525 N 8TH ST STE 202, GRAND JUNCTION, CO 81501-8847
(970) 245-1168
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
06/28/2024
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