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Organization

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC
Other names
Wellington Radiaton Oncology Clinic
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
750 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6132
(970) 298-7500
(970) 298-7262
Mailing address
750 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6132
(970) 298-7500
(970) 298-7262

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
09/02/2020
Last updated
06/28/2024
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