OrganizationActive
Intermountain Medical Group Grand Junction, LLC
NPI 1649883547 · Hematology & Oncology Physician · Moab, UT
Provider details
- NPI number
- 1649883547
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology 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
Practice location
450 Williams Way
Moab, UT 84532-2185
Phone: (435) 719-3500
Fax: (435) 719-3529
Approximate (ZIP-level) locationGet directions
Mailing address
450 Williams Way
Moab, UT 84532-2185
Other names (DBA / former)
- Doing business as
- Smmg Satellite - Medical Oncology Moab
- Doing business as
- Smmg Satellite - Medical Oncology Moab
Registry dates
- Enumerated
- 2020-08-28
- 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.