Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Neurology Physician · Lafayette, CO

NPI number 1962271890 Active

Practice location

300 Exempla Cir Ste 300
Lafayette, CO 80026-3394

Call (303) 673-1370 Map

Fax (720) 616-6995

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

6 other providers at this address

Other neurology physician providers in Lafayette

See all in Lafayette →

NPI record

NPI: 1962271890
Entity type: Organization (Type 2)
Issued: Dec 20, 2023
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
Lafayette Clinic - Neurology · doing business as
Lafayette Clinic - Neurology · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1962271890

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1962271890, issued on Dec 20, 2023. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Lafayette, CO. The record was last updated on Jun 28, 2024.