Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Wellington Neurosurgery 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 STE 3A, GRAND JUNCTION, CO 81501-6132
(970) 298-3188
(970) 298-3190
Mailing address
750 WELLINGTON AVE STE 3A, GRAND JUNCTION, CO 81501-6132
(970) 298-3188
(970) 298-3190
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
06/28/2024
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