Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Lutheran Medical Center - Cancer Centers of Colorado
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
3550 LUTHERAN PKWY STE 100A, WHEAT RIDGE, CO 80033-6013
(303) 403-7333
(303) 403-7335
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
07/12/2024
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