National Provider Identifier Database

INTERMOUNTAIN MEDICAL GROUP DENVER LLC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


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
* Cardiovascular Disease 207RC0000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

NPI Number 1083451306
Legal business name
LBN
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Authorized official JON MCDANIEL - (VP FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 07/12/2024
Last updated 07/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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