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

Intermountain Medical Group Denver, LLC

Organization Family Medicine Physician · NPI 1922979236

Intermountain Medical Group Denver, LLC provides Family Medicine Physician services in Burley, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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

1501 Hiland Ave Ste F
Burley, ID 83318-2682
Phone: (801) 442-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1922979236
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address500 Eldorado Blvd Ste 4300, Broomfield, CO 80021-3564

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