Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SCL Health Heart & Vascular Institute - Evergreen
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
32135 CASTLE CT STE 100A, EVERGREEN, CO 80439-8005
(303) 603-9800
(303) 403-6209
Mailing address
32135 CASTLE CT STE 100A, EVERGREEN, CO 80439-8005
(303) 603-9800
(303) 403-6209
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
06/28/2024
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