Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Cardiovascular Disease Physician · Lafayette, CO

NPI number 1366051054 Active

Practice location

300 Exempla Cir Ste 310
Lafayette, CO 80026-3394

Fax (303) 689-6430

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1366051054

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1366051054, issued on Jul 28, 2020. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Lafayette, CO. The record was last updated on Jun 28, 2024.