NPI 1922715101

Intermountain Medical Group Denver, LLC

Organisation Neurological Surgery Physician Wheat Ridge, CO

Practice location

Address: 3455 Lutheran Pkwy STE 280, Wheat Ridge, CO 80033-6041
Phone: (303) 403-6628
Fax: (303) 403-6240
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

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Colorado →

Registry record

NPI: 1922715101
Entity type: Organization
NPI issued: 28 Oct 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.