OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1871330100 · Maternal & Fetal Medicine Physician · Wheat Ridge, CO
Provider details
- NPI number
- 1871330100
- Entity type
- Organization
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Authorized official
- Jon Mcdaniel, Vp Finance
Practice location
12905 W 40th Ave, Ste 420
Wheat Ridge, CO 80401
Phone: (303) 265-5670
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 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.