Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Family Medicine Physician · Burley, ID

NPI number 1922979236 Active

Practice location

1501 Hiland Ave Ste F
Burley, ID 83318-2682

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1922979236

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1922979236, issued on Sep 17, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Burley, ID. The record was last updated on Sep 17, 2025.