Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Family Medicine Physician · Firestone, CO

NPI number 1568070944 Active

Practice location

8350 Colorado Blvd Unit 160
Firestone, CO 80504-6803

Call (303) 689-5160 Map

Fax (303) 689-5175

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
Neurology Physician	2084N0400X	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.

2 other providers at this address

Other family medicine physician providers in Firestone

See all in Firestone →

NPI record

NPI: 1568070944
Entity type: Organization (Type 2)
Issued: Jul 21, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
Firestone Clinic · doing business as
Firestone Clinic · doing business as
Firestone Clinic - Neurology · other name

Authorized official

Jon McDaniel
VP of Finance
(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 1568070944

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1568070944, issued on Jul 21, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Firestone, CO. The record was last updated on Jun 28, 2024.