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Contact Information

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
12905 W 40TH AVE, SUITE 305
WHEAT RIDGE, CO80401
 Phone: 303-265-5730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP DENVER LLC · (Female)

NPI # 1083451306
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2024
Last updated 07/12/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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