Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Family Medicine Physician · Broomfield, CO

NPI number 1497367213 Active

Practice location

12169 Sheridan Blvd
Broomfield, CO 80020-2459

Call (303) 603-9400 Map

Fax (303) 603-9420

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Occupational Medicine Physician	2083X0100X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

Other family medicine physician providers in Broomfield

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NPI record

NPI: 1497367213
Entity type: Organization (Type 2)
Issued: Aug 21, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
Broomfield Clinic · doing business as
Broomfield Clinic Occupational Therapy · other name
Broomfield Clinic Physical Therapy · other name

Authorized official

Jon McDaniel
VP Finance
(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 1497367213

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1497367213, issued on Aug 21, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Broomfield, CO. The record was last updated on Jun 28, 2024.