Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Rampart Clinic Neurology & Neuro-Ophthamology
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
130 RAMPART WAY STE 150, DENVER, CO 80230-6442
(303) 812-6930
(303) 318-2477
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
06/28/2024
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