| Intermountain Medical Group Denver, LLC | |
|
500 Eldorado Blvd Bldg 6, Ste 6250 Broomfield CO 80021-3408 | |
| (303) 272-0811 | |
| (303) 272-0740 |
| Full Name | Intermountain Medical Group Denver, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 500 Eldorado Blvd, Broomfield, Colorado |
| Authorized Official Name and Position | Lynnette Green (INSURANCE REP) |
| Authorized Official Contact | 3032720811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Medical Group Denver, LLC 500 Eldorado Blvd Bldg 6, Ste 6250 Broomfield CO 80021-3408 Ph: (303) 272-0811 | Intermountain Medical Group Denver, LLC 500 Eldorado Blvd Bldg 6, Ste 6250 Broomfield CO 80021-3408 Ph: (303) 272-0811 |
| NPI Number | 1811378037 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811378037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Colorado) | Primary |
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