OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1891468302 · Orthopaedic Surgery of the Spine Physician · Lakewood, CO
Provider details
- NPI number
- 1891468302
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine 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
1687 Cole Blvd Ste 103
Lakewood, CO 80401-3318
Phone: (303) 403-6688
Fax: (303) 403-6245
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422
Other names (DBA / former)
- Doing business as
- Intermountain Health Lutheran Spine Center
Registry dates
- Enumerated
- 2021-07-29
- 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.