Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC.
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Intermountain Health Park Avenue Clinic - Lung Nodule, Intermountain Health Park Avenue Clinic-Breast Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
SEAN FADDEN (VP FINANCE)
(303) 425-2410
Entity
Organization
Contact information
Practice address
1818 N OGDEN ST STE 315B, DENVER, CO 80218-1276
(303) 318-3580
(303) 318-2483
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
02/16/2026
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