Graduated: 1993
NPI: 1073615001
Practice Locations (3)
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
BROOMFIELD, CO 80021
7208074461
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
2055 W 136TH AVE UNIT, B118 QUAIL CREEK CLINIC
BROOMFIELD, CO 800239308
3036731570
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
8350 COLORADO BLVD, UNIT 160
FIRESTONE, CO 805046803
3036731370
Source: CMS National Downloadable File, September 2026.