Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCL Health Medical Group - Lutheran Spine Center Satellite
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
1606 PRAIRIE CENTER PKWY STE 210, BRIGHTON, CO 80601-4004
(303) 403-6688
(303) 403-6245
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
06/28/2024
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