OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1467282822 · Gynecologic Oncology Physician · Lafayette, CO
Provider details
- NPI number
- 1467282822
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Fianance(303) 272-0231
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Exempla Cir Ste 470
Lafayette, CO 80026-3396
Phone: (303) 403-6330
Fax: (303) 272-0280
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Other names (DBA / former)
- Doing business as
- Lafayette Clinic - Gynological Oncology
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.