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 Family Medicine Physician · NPI 1760090146

Intermountain Medical Group Denver, LLC is a Family Medicine Physician in Broomfield, 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

2055 W 136th Ave Ste B118
Broomfield, CO 80023-9308
Phone: (303) 673-1570
Fax: (303) 673-1331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1760090146
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Of Finance · (303) 272-0231
Other names Quail Creek Clinic
NPI enumeratedJuly 21, 2020
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address500 Eldorado Blvd Ste 6300, Broomfield, CO 80021-3422

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