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

Intermountain Medical Group Denver, LLC

Organization Neurology Physician · NPI 1821835158

Intermountain Medical Group Denver, LLC is a Neurology Physician in Wheat Ridge, 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

12905 W 40th Ave Ste 440
Wheat Ridge, CO 80401
Phone: (303) 265-5780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1821835158
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
Other names Lutheran Clinic - Neurology
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address500 Eldorado Blvd Ste 4300, Broomfield, CO 80021-3564

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