OrganizationActive
Intermountain Medical Group Grand Junction, LLC
NPI 1093538837 · Addiction Medicine (Family Medicine) Physician · Grand Junction, CO
Provider details
- NPI number
- 1093538837
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance(303) 272-0231
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Practice location
2643 Patterson Rd Ste 603
Grand Junction, CO 81506-1937
Phone: (970) 298-3801
Fax: (970) 232-2660
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Other names (DBA / former)
- Doing business as
- Grand Junction Integrative Addiction Medicine Clinic
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.