Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTIAN FRONT RANGE, INC.
Other names
SMMG Satellite - Neurology Basalt
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTIAN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE MEDICAL GROUP)
(303) 272-0231
Entity
Organization
Contact information
Practice address
350 MARKET ST UNIT 1, BASALT, CO 81621-7410
(970) 927-1141
(866) 941-5664
Mailing address
350 MARKET ST UNIT 1, BASALT, CO 81621-7410
(970) 927-1141
(866) 941-5664
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
06/28/2024
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