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Organization

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC
Other names
Intermountain Health Governors Ranch Clinic - Primarly Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC
Authorized official
JON MCDANIEL (VP FINANCE)
(303) 272-0231
Entity
Organization

Contact information

Practice address
5870 S KIPLING PKWY, LITTLETON, CO 80127-2070
(303) 403-6570
(303) 258-8519
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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