NPI 1043973902
Intermountain Medical Group Denver, LLC
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
Podiatric Clinic/Center
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.