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 provides Gynecologic Oncology Physician services 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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