| Intermountain Medical Group Denver, Llc | |
| 
					8350 Colorado Blvd Unit 160 Firestone CO 80504-6803  | |
| (303) 689-5160 | |
| (303) 689-5175 | 
| Full Name | Intermountain Medical Group Denver, Llc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 8350 Colorado Blvd Unit 160, Firestone, Colorado | 
| Authorized Official Name and Position | Jon Mcdaniel (VP OF FINANCE) | 
| Authorized Official Contact | 3032720231 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Intermountain Medical Group Denver, Llc 500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 Ph: (303) 272-0566  | Intermountain Medical Group Denver, Llc 8350 Colorado Blvd Unit 160 Firestone CO 80504-6803 Ph: (303) 689-5160  | 
| NPI Number | 1568070944 | 
|---|---|
| Provider Enumeration Date | 07/21/2020 | 
| Last Update Date | 06/28/2024 | 
| Certification Date | 06/28/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568070944 | NPI | - | NPPES | 
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