Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Neurology Physician · Lafayette, CO

NPI number 1669122925 Active

Practice location

380 Empire Rd Ste 120
Lafayette, CO 80026-2677

Call (303) 673-1390 Map

Fax (720) 863-7446

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician	207T00000X	None listed
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2 other providers at this address

Other neurology physician providers in Lafayette

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NPI record

NPI: 1669122925
Entity type: Organization (Type 2)
Issued: Mar 28, 2022
Last updated: Jul 12, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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SCL Health Medical Group - Lafayette Brain and Spine Center · doing business as
SCL Health Medical Group - Lafayette Brain and Spine Center · doing business as

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 1669122925

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1669122925, issued on Mar 28, 2022. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Lafayette, CO. The record was last updated on Jul 12, 2024.