NPI 1063020923

Intermountain Medical Group Denver, LLC

Organisation General Practice Physician Wheat Ridge, CO

Practice location

Address: 8550 W 38th Ave STE 320, Wheat Ridge, CO 80033-4300
Phone: (303) 272-0566
Mailing address: 500 Eldorado Blvd STE 6300, Broomfield, CO 80021-3422

Authorised official

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

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1063020923
Entity type: Organization
NPI issued: 16 Jul 2020
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.