INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC is a foot and ankle surgery podiatrist in Grand Junction, CO. INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC NPI is 1356835045. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
627 25 1/2 RD GRAND JUNCTION, CO ZIP 81505-401 Phone: (970) 242-3535 Fax: (970) 683-2745
The provider's authorized official is Jon Mcdaniel . The authorized official title is Vp Finance Mgps and has the following contact phone number (303) 272-0231.
The CLIA number assigned to this NPI record is 06D2233084 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/18/2018 and was last updated on 6/28/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
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