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 provides Neurological Surgery Physician services 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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