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Contact Information

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
12905 W 40TH AVE, STE 415
WHEAT RIDGE, CO80401
 Phone: 303-265-5930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

NPI # 1255178588
LBN Legal business name INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Authorized official JON MCDANIEL - (VP FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/12/2024
Last updated 10/02/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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