Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Wellington Neurology 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
750 WELLINGTON AVE STE 3C, GRAND JUNCTION, CO 81501-6132
(970) 298-3150
(970) 298-3151
Mailing address
750 WELLINGTON AVE STE 3C, GRAND JUNCTION, CO 81501-6132
(970) 298-3150
(970) 298-3151
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
06/28/2024
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