Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Obstetrics & Gynecology Physician · Lafayette, CO

NPI number 1740894666 Active

Practice location

300 Exempla Cir Ste 300
Lafayette, CO 80026-3394

Call (303) 673-1440 Map

Fax (303) 673-1359

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6 other providers at this address

Other obstetrics & gynecology physician providers in Lafayette

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NPI record

NPI: 1740894666
Entity type: Organization (Type 2)
Issued: Sep 8, 2020
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 Ob-Gyn · doing business as
SCL Health Medical Group - Lafayette Ob-Gyn · doing business as

Authorized official

Jon McDaniel
VP 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 1740894666

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1740894666, issued on Sep 8, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Lafayette, CO. The record was last updated on Jul 12, 2024.