OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1700490299 · Medical Oncology Physician · Wheat Ridge, CO
Provider details
- NPI number
- 1700490299
- Entity type
- Organization
- Primary specialty
- Medical Oncology 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
Practice location
3550 Lutheran Pkwy Ste 100a
Wheat Ridge, CO 80033-6013
Phone: (303) 403-7333
Fax: (303) 403-7335
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422
Other names (DBA / former)
- Doing business as
- Lutheran Medical Center - Cancer Centers of Colorado
- Doing business as
- Lutheran Medical Center - Cancer Centers of Colorado
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.