Organization · Type 2 NPI
Intermountain Medical Group Denver, LLC
Neurological Surgery Physician · Wheat Ridge, CO
Practice location
12905 W 40th Ave, Ste 415
Wheat Ridge, CO 80401
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician Primary | 207T00000X | None listed |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
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About NPI 1255178588
Intermountain Medical Group Denver, LLC's National Provider Identifier is 1255178588, issued on Jul 12, 2024. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Oct 2, 2025.