National Provider Identifier Database

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION LLC
Hypertension Specialist

A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.


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
* Hypertension Specialist 207RH0005X

* Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI Number 1346854130
Legal business name
LBN
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Authorized official JON MCDANIEL - (VP FINANCE MEDICAL GROUP)
Entity Organization
Organization subpart Yes
Enumeration date 08/31/2020
Last updated 06/28/2024 - 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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