Lookup NPI Numbers from the NPI Registry
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 |
| LBN Legal business name | INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC |
| Authorized official | JON MCDANIEL - (VP FINANCE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/31/2024 |
| Last updated | 10/31/2024 - More than a year ago |
| Identifiers | n/a |
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INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC