Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Obstetrics & Gynecology Physician · Grand Junction, CO

NPI number 1356954598 Active

Practice location

610 25 Rd
Grand Junction, CO 81505-1202

Fax (970) 298-7814

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	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.

4 other providers at this address

Other obstetrics & gynecology physician providers in Grand Junction

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NPI record

NPI: 1356954598
Entity type: Organization (Type 2)
Issued: Aug 27, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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SCL Health Medical Group - Maternal Fetal Medicine · doing business as
SCL Health Medical Group - Maternal Fetal Medicine · doing business as

Authorized official

Jon McDaniel
VP Finance Medical Group
(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 1356954598

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1356954598, issued on Aug 27, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 28, 2024.