Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Surgery Physician · Wheat Ridge, CO

NPI number 1114593571 Active

Practice location

3455 Lutheran Pkwy Ste 220
Wheat Ridge, CO 80033-6029

Call (303) 403-3030 Map

Fax (303) 403-6907

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

4 other providers at this address

Other surgery physician providers in Wheat Ridge

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NPI record

NPI: 1114593571
Entity type: Organization (Type 2)
Issued: May 27, 2021
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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Wheat Ridge Clinic - Weight Loss & Reflux Center · doing business as

Authorized official

Jon McDaniel
VP of 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 1114593571

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1114593571, issued on May 27, 2021. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jun 28, 2024.