INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1730533902

NPI Information

  • NPI: 1730533902
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Other Name: SCLP COMMUNITY FOOT & ANKLE CLINIC
  • Address: 9351 GRANT ST
    STE 490
    THORNTON, CO
    ZIP 80229
  • Phone: (303) 451-5271

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a foot and ankle surgery podiatrist in Thornton, CO. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1730533902. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Sclp Community Foot & Ankle Clinic.

The provider's business location address is:

9351 GRANT ST
STE 490
THORNTON, CO
ZIP 80229-358
Phone: (303) 451-5271
Fax: (303) 452-4398

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

The enumeration date for this NPI number is 4/14/2016 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
1213ES0103XPodiatristFoot & Ankle SurgeryPOD.0000520COLORADOYes

What is NPI?

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

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