OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1508470998 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Denver, CO
Provider details
- NPI number
- 1508470998
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance Medical Group(303) 272-0231
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Practice location
1960 N Ogden St Ste 520
Denver, CO 80218-3671
Phone: (303) 318-3220
Fax: (303) 318-3219
Approximate (ZIP-level) locationGet directions
Mailing address
1960 N Ogden St Ste 520
Denver, CO 80218-3671
Other names (DBA / former)
- Doing business as
- Denver Midtown Clinic - Urogynecology
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2024-06-28
- Certified
- 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.