Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Hematology & Oncology Physician · Grand Junction, CO

NPI number 1811501307 Active

Practice location

750 Wellington Ave
Grand Junction, CO 81501-6132

Fax (970) 298-7262

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

28 other providers at this address

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NPI record

NPI: 1811501307
Entity type: Organization (Type 2)
Issued: Sep 2, 2020
Last updated: Jul 16, 2026
Status: Active
Subpart: Yes of Intermountain Front Range, Inc

Other names

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Cancer Centers of Colorado - ST Mary's Regional Hospital (rad Onc) · doing business as
Wellington Radiaton Oncology Clinic · doing business as

Authorized official

Jon McDaniel
VP Finance Medical Group
(303) 272-0231

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About NPI 1811501307

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1811501307, issued on Sep 2, 2020. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Grand Junction, CO. The record was last updated on Jul 16, 2026.