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

Intermountain Medical Group Denver, LLC

Organization Gynecologic Oncology Physician · NPI 1477383834

Intermountain Medical Group Denver, LLC is a Gynecologic Oncology Physician in Denver, Colorado. Registered with an NPI since 2024.

In the registry since
2024
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

2823 Roslyn St
Denver, CO 80238-2624
Phone: (303) 403-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1477383834
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
Other names Central Park Clinic - Gynological Oncology
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address500 Eldorado Blvd Ste 4300, Broomfield, CO 80021-3564

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