Intermountain Medical Group Denver, LLC
Plastic Surgery in Denver, CO. Organization (NPI-2).
NPI number1962016352
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1962016352
- Entity type
- Organization (NPI-2)
- Legal business name
- Intermountain Medical Group Denver, LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 2, 2020
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Other names
- Denver Midtown Clinic - Surgery (Doing Business As)
Practice location
1960 N Ogden St Ste 530Denver, CO 80218-3671
Phone 303-318-2600 · Fax 303-318-2604
Mailing address
1960 N Ogden St Ste 530Denver, CO 80218-3671
Phone 303-318-2600 · Fax 303-318-2604
Authorized official
Jon McDaniel
Vp Finance Medical Group
3032720231
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