| Intermountain Medical Group Denver, Llc | |
|
2055 W 136th Ave Ste B118 Broomfield CO 80023-9308 | |
| (303) 673-1570 | |
| (303) 673-1331 |
| Full Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2055 W 136th Ave Ste B118, Broomfield, 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 2055 W 136th Ave Ste B118 Broomfield CO 80023-9308 Ph: (303) 673-1570 |
| NPI Number | 1760090146 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760090146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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