Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Neurological Surgery Physician · Cortez, CO

NPI number 1609489848 Active

Practice location

20 S Market St
Cortez, CO 81321-3502

Fax (970) 565-0732

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…

4 other providers at this address

NPI record

NPI: 1609489848
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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Cortez Neurosurgery Satellite Clinic · 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 1609489848

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1609489848, issued on Aug 27, 2020. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Cortez, CO. The record was last updated on Jun 28, 2024.