Whalio Doctors

NPI 1043973902

Intermountain Medical Group Denver, LLC

Organisation Family Medicine Physician Arvada, CO

Practice location

Address
15389 W 91st Dr STE 100, Arvada, CO 80007-1400
Phone
(303) 603-9300
Fax
(720) 501-6699
Mailing address
500 Eldorado Blvd STE 6300, Broomfield, CO 80021-3422

Authorised official

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

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Podiatric Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP1100X

Registry record

NPI
1043973902
Entity type
Organization
NPI issued
18 Oct 2021
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.