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Organization

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Craig Neurosurgery Outreach Clinic
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
785 RUSSELL ST, CRAIG, CO 81625-2019
(970) 298-3188
(970) 298-3190
Mailing address
785 RUSSELL ST, CRAIG, CO 81625-2019
(970) 826-8019
(435) 719-5501

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
08/27/2020
Last updated
09/17/2024
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