NPI 1578331930
Intermountain Medical Group Denver, LLC
Practice location
- Address
- 23750 E 14th Ave Suite 220, Aurora, CO 80018-1971
- Phone
- (303) 812-5230
- Fax
- (303) 272-0271
- Mailing address
- 500 Eldorado Blvd STE 4300, Broomfield, CO 80021-3564
Authorised official
- Name
- Jon McDaniel
- Title
- Vp Finance Medical Group
- Phone
- (303) 272-0231
Registered specialties (2)
Primary Podiatric Medicine Podiatrist
Primary
Family Medicine Physician
Registry record
- NPI
- 1578331930
- Entity type
- Organization
- NPI issued
- 15 Dec 2023
- Record last updated
- 27 Aug 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.