INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1962016352

NPI Information

  • NPI: 1962016352
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Doing Business As: DENVER MIDTOWN CLINIC - SURGERY
  • Address: 1960 N OGDEN ST STE 530
    DENVER, CO
    ZIP 80218
  • Phone: (303) 318-2600

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a plastic surgery in Denver, CO. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1962016352. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Denver Midtown Clinic - Surgery.

The provider's business location address is:

1960 N OGDEN ST STE 530
DENVER, CO
ZIP 80218-671
Phone: (303) 318-2600
Fax: (303) 318-2604

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 9/2/2020 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
1208200000XPlastic SurgeryYes

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

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