Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCLP Community Foot & Ankle Clinic, Community Foot & Ankle Clinic - DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FINANCE - MGPS OPERATIONS)
(303) 272-0231
Entity
Organization
Contact information
Practice address
9351 GRANT ST, STE 490, THORNTON, CO 80229-4358
(303) 451-5271
(303) 452-4398
Mailing address
9351 GRANT ST, STE 490, THORNTON, CO 80229-4358
(303) 451-5271
(303) 452-4398
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000520
CO
Other
Enumeration date
04/14/2016
Last updated
06/28/2024
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