Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Grand Junction Pediatric Specialty 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
2643 PATTERSON RD STE 405, GRAND JUNCTION, CO 81506-1937
(970) 298-7440
(970) 298-7459
Mailing address
500 ELDORADO BLVD STE 4300, BROOMFIELD, CO 80021-3564
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
Other
Enumeration date
12/20/2023
Last updated
06/28/2024
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