Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Intermountain Health Heart & Vascular - Northglenn Clinic, SCL Health Heart & Vascular Institute - Northglenn
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
11900 GRANT ST STE 240, NORTHGLENN, CO 80233-1117
(303) 603-9970
(303) 403-6219
Mailing address
11900 GRANT ST STE 240, NORTHGLENN, CO 80233-1117
(303) 603-9970
(303) 403-6219
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
09/04/2020
Last updated
06/28/2024
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