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Organization

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Saint Joseph Hospital Radiation Oncology
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
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 812-6350
(303) 812-5155
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
09/08/2020
Last updated
06/28/2024
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