Organization
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
SMMG Pediatric Specialty
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
2643 PATTERSON RD STE 603, GRAND JUNCTION, CO 81506-1937
(970) 298-7440
(970) 298-7459
Mailing address
2643 PATTERSON RD STE 603, GRAND JUNCTION, CO 81506-1937
(970) 298-7440
(970) 298-7459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
06/28/2024
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