Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Moab Neurology Satellite 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
476 WILLIAMS WAY, MOAB, UT 84532-2186
(435) 719-5550
(435) 719-5501
Mailing address
476 WILLIAMS WAY, MOAB, UT 84532-2186
(435) 719-5550
(435) 719-5501
Taxonomy
Speciality
Code
Description
License number
State
207RH0005X
Hypertension Specialist Physician
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
06/28/2024
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