Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Grand Junction Renal Rehab Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FIANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
2643 PATTERSON RD STE 405, GRAND JUNCTION, CO 81506-1937
(970) 298-5920
(970) 372-1710
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/06/2022
Last updated
06/28/2024
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