Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Neurological Surgery Physician · Lafayette, CO

NPI number 1003514639 Active

Practice location

340 Exempla Cir Ste 300
Lafayette, CO 80026-3384

Fax (720) 627-6407

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Neurology Physician 2084N0400XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1003514639

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1003514639, issued on Feb 22, 2023. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Lafayette, CO. The record was last updated on Jun 28, 2024.