INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION LLC NPI 1528837416

NPI Information

  • NPI: 1528837416
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: GRAND JUNCTION PEDIATRIC SPECIALTY CLINIC
  • Address: 2643 PATTERSON RD STE 405
    GRAND JUNCTION, CO
    ZIP 81506
  • Phone: (970) 298-7440

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NPI Details

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC is a pediatrics in Grand Junction, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC NPI is 1528837416. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand Junction Pediatric Specialty Clinic.

The provider's business location address is:

2643 PATTERSON RD STE 405
GRAND JUNCTION, CO
ZIP 81506-937
Phone: (970) 298-7440
Fax: (970) 298-7459

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Finance Medical Group and has the following contact phone number (303) 272-0231.

The enumeration date for this NPI number is 12/20/2023 and was last updated on 6/28/2024.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes
22080P0202XPediatricsPediatric CardiologyNo

What is NPI?

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This page was last updated on: 3/30/2025

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