Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Superior Clinic, Superior Clinic OB-GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FIANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
3 SUPERIOR DR STE 400, SUPERIOR, CO 80027-8656
(303) 673-1440
(303) 673-1359
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
09/02/2020
Last updated
06/28/2024
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