OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1083598874 · Sports Medicine (Orthopaedic Surgery) Physician · Denver, CO
Provider details
- NPI number
- 1083598874
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Authorized official
- Jon Mcdaniel, Vp Finance
Practice location
1830 N Franklin St Ste 400
Denver, CO 80218-1128
Phone: (720) 689-9350
Fax: (720) 689-5201
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.