NPI 1083335079
Intermountain Medical Group Grand Junction, LLC
Practice location
- Address
- 2525 N 8th St STE 202, Grand Junction, CO 81501-8847
- Phone
- (970) 245-1168
- Mailing address
- 500 Eldorado Blvd STE 4300, Broomfield, CO 80021-3564
Authorised official
- Name
- Jon McDaniel
- Title
- Vp Fiance
- Phone
- (303) 272-0231
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1083335079
- Entity type
- Organization
- NPI issued
- 7 Sep 2022
- 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.