NPI 1568179687

Intermountain Medical Group Denver, LLC

Organisation Neurological Surgery Physician Lafayette, CO

Practice location

Address: 300 Exempla Cir STE 360, Lafayette, CO 80026-3395
Phone: (303) 673-1390
Fax: (720) 627-6407
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: 1568179687
Entity type: Organization
NPI issued: 28 Oct 2022
Record last updated: 12 Jul 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.