Organization
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Active
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.
Other names
Congress Park Clinic - Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
JON MCDANIEL (VP FIANCE MEDICAL GROUP)
(303) 272-0231
Entity
Organization
Contact information
Practice address
1400 JACKSON ST STE 550, DENVER, CO 80206-2761
(303) 812-3800
(303) 812-4172
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
(303) 272-0390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
06/28/2024
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