NPI 1255178588

Intermountain Medical Group Denver, LLC

Organisation Neurological Surgery Physician Wheat Ridge, CO

Practice location

Address: 12905 W 40th Ave, STE 415, Wheat Ridge, CO 80401
Phone: (303) 265-5930
Mailing address: 500 Eldorado Blvd STE 4300, Broomfield, CO 80021-3564

Authorised official

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

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Colorado →

Registry record

NPI: 1255178588
Entity type: Organization
NPI issued: 12 Jul 2024
Record last updated: 2 Oct 2025

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.