Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Family Medicine Physician · Lakewood, CO

NPI number 1992313373 Active

Practice location

12790 W Alameda Pkwy Ste A
Lakewood, CO 80228-2850

Call (303) 403-6350 Map

Fax (303) 403-6372

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Occupational Medicine Physician	2083X0100X	None 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.

3 other providers at this address

Other family medicine physician providers in Lakewood

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NPI record

NPI: 1992313373
Entity type: Organization (Type 2)
Issued: Jul 21, 2020
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

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Green Mountain Clinic - Primary Care · doing business as

Authorized official

Jon McDaniel
VP of Finance
(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.

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About NPI 1992313373

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1992313373, issued on Jul 21, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lakewood, CO. The record was last updated on Jun 28, 2024.