NPI 1003514639

Intermountain Medical Group Denver, LLC

Organisation Neurological Surgery Physician Lafayette, CO

Practice location

Address: 340 Exempla Cir STE 300, Lafayette, CO 80026-3384
Phone: (303) 673-1390
Fax: (720) 627-6407
Mailing address: 500 Eldorado Blvd STE 4300, Broomfield, CO 80021-3564

Authorised official

Name: Jon McDaniel
Title: Vp Finance
Phone: (303) 272-0231

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Colorado →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Colorado →

Registry record

NPI: 1003514639
Entity type: Organization
NPI issued: 22 Feb 2023
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.