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General NPI Number Information
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NPI Number | 1194643833
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Entity Type | Organization
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Legal Business Name | INTERMOUNTAIN MEDICAL GROUP DENVER, LLC.
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 8900 E 46TH PL
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City | DENVER
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State | CO
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Zip | 80238-3143
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Country | US
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Telephone | 866-252-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 500 ELDORADO BLVD STE 4300
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City | BROOMFIELD
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State | CO
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Zip | 80021-3564
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE CHIEF MEDICAL OFFICER
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Name | CHRISTOPHER AWTREY
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Credential | MD
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Telephone | 303-272-0756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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