Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Neurological Surgery Physician · Wheat Ridge, CO

NPI number 1922715101 Active

Practice location

3455 Lutheran Pkwy Ste 280
Wheat Ridge, CO 80033-6041

Fax (303) 403-6240

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone 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…

3 other providers at this address

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About NPI 1922715101

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1922715101, issued on Oct 28, 2022. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jun 28, 2024.