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 1922715101

Intermountain Medical Group Denver, LLC provides Neurological Surgery Physician services in Wheat Ridge, Colorado. Registered with an NPI since 2022.

In the registry since
2022
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

3455 Lutheran Pkwy Ste 280
Wheat Ridge, CO 80033-6041
Phone: (303) 403-6628
Fax: (303) 403-6240
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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 number1922715101
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Fiance · (303) 272-0231
Other names Wheat Ridge Clinic - Neurosurgery
NPI enumeratedOctober 28, 2022
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address500 Eldorado Blvd Ste 4300, Broomfield, CO 80021-3564

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