Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Cardiovascular Disease Physician · Wheat Ridge, CO

NPI number 1083451306 Active

Practice location

12905 W 40th Ave, Suite 305
Wheat Ridge, CO 80401

Call (303) 265-5730 Map

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other cardiovascular disease physician providers in Wheat Ridge

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NPI record

NPI: 1083451306
Entity type: Organization (Type 2)
Issued: Jul 12, 2024
Last updated: Jul 12, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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Imh Heart & Vascular - Lutheran Cardiac and Thoracic Surgery · doing business as
Intermountain Health Heart & Vascular - Lutheran Cardiology · doing business as

Authorized official

Jon McDaniel
VP Finance
(303) 272-0231

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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 1083451306

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1083451306, issued on Jul 12, 2024. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jul 12, 2024.