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

Intermountain Medical Group Denver, LLC

Organization Neurological Surgery Physician · NPI 1578107371

Intermountain Medical Group Denver, LLC provides Neurological Surgery Physician services in Lakewood, Colorado. Registered with an NPI since 2019.

In the registry since
2019
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

1687 Cole Blvd Ste 150
Lakewood, CO 80401-3322
Phone: (303) 403-6626
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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 number1578107371
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance Medical Group · (303) 272-0231
NPI enumeratedNovember 5, 2019
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322

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