Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Intermountain Medical Group Denver, LLC

Organization Neurological Surgery Physician · NPI 1013543891

Intermountain Medical Group Denver, LLC is a Neurological Surgery Physician in Wheat Ridge, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3455 Lutheran Pkwy Ste 285
Wheat Ridge, CO 80033-6034
Phone: (303) 403-6628
Fax: (303) 403-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1013543891
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance Medical Group · (303) 272-0231
NPI enumeratedMarch 12, 2020
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address3455 Lutheran Pkwy Ste 285, Wheat Ridge, CO 80033-6034

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