OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1760094585 · Endocrinology, Diabetes & Metabolism Physician · Wheat Ridge, CO
Provider details
- NPI number
- 1760094585
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism 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
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
3555 Lutheran Pkwy Ste 180
Wheat Ridge, CO 80033-6000
Phone: (303) 403-7933
Fax: (303) 403-7945
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422
Other names (DBA / former)
- Doing business as
- Wheat Ridge Clinic - Diabetes & Endocrinology
Registry dates
- Enumerated
- 2020-08-21
- 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.