Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Family Medicine Physician · Arvada, CO

NPI number 1043973902 Active

Practice location

15389 W 91st Dr Ste 100
Arvada, CO 80007-1400

Call (303) 603-9300 Map

Fax (720) 501-6699

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Podiatric Clinic/Center	261QP1100X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Thomas Coyle, DOFamily Medicine Physician Arvada, CO NPI 1093409492

Other family medicine physician providers in Arvada

See all in Arvada →

NPI record

NPI: 1043973902
Entity type: Organization (Type 2)
Issued: Oct 18, 2021
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
Candelas Clinic - Primary Care · doing business as
Candelas Clinic - Primary Care · doing business as
Candelas Clinic - Podiatry · other name

Authorized official

Jon McDaniel
VP Finance Med Group
(303) 272-0231

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043973902

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1043973902, issued on Oct 18, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Arvada, CO. The record was last updated on Jun 28, 2024.