Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC
Other names
Intermountain Health Heart & Vascular - New West Golden
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC
Authorized official
JON MCDANIEL (VP FINANCE)
(032) 720-0231
Entity
Organization
Contact information
Practice address
400 INDIANA ST STE 390, GOLDEN, CO 80401-5067
(303) 716-8027
(303) 238-5258
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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