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

Intermountain Medical Group Grand Junction, LLC

Organization Neurological Surgery Physician · NPI 1396358578

Intermountain Medical Group Grand Junction, LLC is a Neurological Surgery Physician in Basalt, 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.

See every abbreviation used in this directory →

Practice location Address checks out

350 Market St Unit 1
Basalt, CO 81621-7410
Phone: (970) 927-1141
Fax: (866) 941-5664
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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 number1396358578
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountian Front Range, Inc
Authorized official Jon McDaniel — Vp Finance Medical Group · (303) 272-0231
Other names Smmg Satellite - Neurology Basalt; Smmg Satellite - Neurology Basalt
NPI enumeratedAugust 26, 2020
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address350 Market St Unit 1, Basalt, CO 81621-7410

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