Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Gunnison Maternal Fetal Medicine Satellite 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
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-1456
(970) 641-7261
Mailing address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-1456
(970) 641-7261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
06/28/2024
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