Organization · Type 2 NPI

Intermountain Medical Group Grand Junction, LLC

Neurological Surgery Physician · Grand Junction, CO

NPI number 1831703313 Active

Practice location

750 Wellington Ave Ste 3A
Grand Junction, CO 81501-6132

Fax (970) 298-3190

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

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NPI record

NPI: 1831703313
Entity type: Organization (Type 2)
Issued: Sep 2, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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Wellington Neurosurgery 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 1831703313

Intermountain Medical Group Grand Junction, LLC's National Provider Identifier is 1831703313, issued on Sep 2, 2020. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 28, 2024.