OrganizationActive
Intermountain Medical Group Grand Junction, LLC
NPI 1003429903 · Obstetrics Physician · Grand Junction, CO
Provider details
- NPI number
- 1003429903
- Entity type
- Organization
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Authorized official
- Jon Mcdaniel, Vp Finance Medical Group
Practice location
610 25 Rd
Grand Junction, CO 81505-1202
Phone: (970) 298-9600
Fax: (970) 298-9601
Mailing address
610 25 Rd
Grand Junction, CO 81505-1202
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2024-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.