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Intermountain Medical Group Denver, LLC

Family Medicine in Lakewood, CO. Organization (NPI-2).

NPI number1730919085
StatusActive
Last updated in NPPESAug 27, 2024

Details

NPI
1730919085
Entity type
Organization (NPI-2)
Legal business name
Intermountain Medical Group Denver, LLC
Organization subpart
Yes
Enumeration date
Aug 2, 2024
Certification date
Aug 27, 2024
Last updated
Aug 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Belmar Clinic - Primary Care (Doing Business As)

Practice location

360 S Teller St Ste 200
Lakewood, CO 80226-7384

Phone 303-403-6600

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Phone 303-272-0566

Authorized official

Jon McDaniel
Vp Finance
3032720231

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