Lookup NPI Numbers from the NPI Registry
NPI Profile for INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION LLC in GRAND JUNCTION, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical |
| NPI Number | 1093538837 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/31/2024 | |
| Last updated | 10/31/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC