| Intermountain Medical Group Denver, Llc | |
|
5373 S Green St Ste 400 Murray UT 84123-4740 | |
| (801) 442-2647 | |
| Not Available |
| Full Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 5373 S Green St Ste 400, Murray, Utah |
| Authorized Official Name and Position | Jon Mcdaniel (VP 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 4300 Broomfield CO 80021-3564 Ph: (303) 272-0566 | Intermountain Medical Group Denver, Llc 5373 S Green St Ste 400 Murray UT 84123-4740 Ph: (801) 442-2647 |
| NPI Number | 1154294213 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154294213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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