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NPI Code Detail

MEDICARE: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

MEDICARE: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1184238578
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Provider Business Mailing Address
First Line : 500 ELDORADO BLVD STE 6300
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-3422
Country : US
Telephone Number : 303-272-0566
Fax Number :
Provider Business Practice Location Address
First Line : 340 EXEMPLA CIR
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3384
Country : US
Telephone Number : 303-673-1944
Fax Number : 303-689-6675
Authorized Official
Title or Position : VP FIANCE
Name : JON MCDANIEL
Credential :
Telephone Number : 303-272-0231
Provider Enumeration Date : 09/02/2020
Last Update Date : 06/28/2024

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Directions to “INTERMOUNTAIN MEDICAL GROUP DENVER, LLC ” Practice Location

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