INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1700490299

NPI Information

  • NPI: 1700490299
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Doing Business As: LUTHERAN MEDICAL CENTER - CANCER CENTERS OF COLORADO
  • CLIA Number: 06D2140878
  • Address: 3550 LUTHERAN PKWY STE 100A
    WHEAT RIDGE, CO
    ZIP 80033
  • Phone: (303) 403-7333

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a medical oncology internal medicine in Wheat Ridge, CO. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1700490299. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lutheran Medical Center - Cancer Centers Of Colorado.

The provider's business location address is:

3550 LUTHERAN PKWY STE 100A
WHEAT RIDGE, CO
ZIP 80033-013
Phone: (303) 403-7333
Fax: (303) 403-7335

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

The CLIA number assigned to this NPI record is 06D2140878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2020 and was last updated on 7/12/2024.

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
1207RX0202XInternal MedicineMedical OncologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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