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Organization

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCL Health Medical Group - Lafayette Comprehensive Breast 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
300 EXEMPLA CIR STE 300, LAFAYETTE, CO 80026-3394
(303) 318-3540
(303) 318-2482
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/08/2020
Last updated
07/12/2024
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