Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Addiction Medicine (Family Medicine) Physician · Grand Junction, CO

NPI number 1093538837 Active

Practice location

2643 Patterson Rd Ste 603
Grand Junction, CO 81506-1937

Call (970) 298-3801 Map

Fax (970) 232-2660

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Psychologist	103TA0400X	None listed
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

8 other providers at this address

Other addiction medicine (family medicine) physician providers in Grand Junction

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NPI record

NPI: 1093538837
Entity type: Organization (Type 2)
Issued: Oct 31, 2024
Last updated: Oct 31, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc

Other names

Grand Junction Integrative Addiction Medicine Clinic · doing business as

Authorized official

Jon McDaniel
VP Finance
(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 1093538837

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1093538837, issued on Oct 31, 2024. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Grand Junction, CO. The record was last updated on Oct 31, 2024.