Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC
Other names
Wheat Ridge Clinic - Maternal Fetal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC
Authorized official
JON MCDANIEL (VP FINANCE OPERATIONS)
(303) 272-0231
Entity
Organization
Contact information
Practice address
3455 LUTHERAN PKWY STE 210, WHEAT RIDGE, CO 80033-6040
(303) 467-4282
(303) 467-4966
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/28/2024
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