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Intermountain Medical Group Denver, LLC — NPI 1003701962, Wheat Ridge, CO | NPI Central

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NPI 1003701962

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Intermountain Medical Group Denver, LLC

NPI 1003701962 · Infectious Disease Physician · Wheat Ridge, CO

Provider details

NPI number: 1003701962
Entity type: Organization
Primary specialty: Infectious Disease PhysicianAllopathic & Osteopathic Physicians
Parent organization: Intermountain Front Range, Inc.
Organization subpart: Yes
Authorized official: Jon Mcdaniel, Vp Finance(303) 272-0231

Specialties & taxonomies

Infectious Disease PhysicianPrimary207RI0200X
Allopathic & Osteopathic Physicians
Pain Medicine (Physical Medicine & Rehabilitation) Physician2081P2900X
Allopathic & Osteopathic Physicians

Practice location

8550 W 38th Ave Ste 320

Wheat Ridge, CO 80033-4306

Phone: (801) 442-2647

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

500 Eldorado Blvd Ste 4300

Broomfield, CO 80021-3564

Other names (DBA / former)

Doing business as: Intermountain Health Conncet Care - Specialty Co
Doing business as: Intermountain Health Connect Care - High Risk Cancer Prevention Co

Registry dates

Enumerated: 2025-06-11
Last updated: 2025-06-11
Certified: 2025-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.