Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCL Health Medical Group - Lutheran Family Practice
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
8550 W 38TH AVE STE 220, WHEAT RIDGE, CO 80033-4300
(303) 403-3670
(303) 423-9293
Mailing address
8550 W 38TH AVE STE 220, WHEAT RIDGE, CO 80033-4300
(303) 403-3670
(303) 423-9293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
06/28/2024
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