NPI 1114531522
Intermountain Medical Group Denver, LLC
Practice location
- Address
- 1726 Cole Blvd STE 350, Lakewood, CO 80401-3213
- Phone
- (303) 403-7381
- Fax
- (303) 403-7392
- Mailing address
- 500 Eldorado Blvd STE 6300, Broomfield, CO 80021-3422
Authorised official
- Name
- Jon McDaniel
- Title
- Vp Finance Medical Group
- Phone
- (303) 272-0231
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1114531522
- Entity type
- Organization
- NPI issued
- 2 Sep 2020
- Record last updated
- 3 Dec 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.