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Organization

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
LYNNETTE GREEN (INSURANCE REP)
(303) 272-0811
Entity
Organization

Contact information

Practice address
500 ELDORADO BLVD, BLDG 6, STE 6250, BROOMFIELD, CO 80021-3408
(303) 272-0811
(303) 272-0740
Mailing address
500 ELDORADO BLVD, BLDG 6, STE 6250, BROOMFIELD, CO 80021-3408
(303) 272-0811
(303) 272-0740

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CO

Other

Enumeration date
06/12/2015
Last updated
07/12/2024
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