Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Obstetrics & Gynecology Physician · Denver, CO

NPI number 1124632534 Active

Practice location

2823 Roslyn St
Denver, CO 80238-2624

Fax (303) 403-6333

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

Other obstetrics & gynecology physician providers in Denver

See all in Denver →

NPI record

NPI: 1124632534
Entity type: Organization (Type 2)
Issued: Sep 2, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
SCL Health Medical Group - Central Park Ob-Gyn · doing business as
SCL Health Medical Group - Central Park Ob-Gyn · doing business as

Authorized official

Jon McDaniel
VP Finance Medical 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.

Is this your record? How to update it.

About NPI 1124632534

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1124632534, issued on Sep 2, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Denver, CO. The record was last updated on Jun 28, 2024.