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Contact Information

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
476 WILLIAMS WAY
MOAB, UT84532-2186
 Phone: 435-719-5550
 Fax: 435-719-5501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI Number 1346854130
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2020
Last updated 06/28/2024 - 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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