Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Nephrology Physician · Grand Junction, CO

NPI number 1194446492 Active

Practice location

2643 Patterson Rd Ste 405
Grand Junction, CO 81506-1937

Call (970) 298-5920 Map

Fax (970) 372-1710

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Obesity Medicine (Internal Medicine) Physician	207RB0002X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Nephrology Physician Primary	207RN0300X	None listed
Physical Medicine & Rehabilitation Physician	208100000X	None listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Another provider at this address

Intermountain Medical Group Grand Junction, LLCPediatrics Physician Grand Junction, CO NPI 1528837416

Other nephrology physician providers in Grand Junction

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NPI record

NPI: 1194446492
Entity type: Organization (Type 2)
Issued: Sep 6, 2022
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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Grand Junction Renal Rehab Clinic · doing business as

Authorized official

Jon McDaniel
VP Fiance
(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 1194446492

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1194446492, issued on Sep 6, 2022. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 28, 2024.