Intermountain Medical Group Grand Junction, Llc | |
2643 Patterson Rd Ste 603 Grand Junction CO 81506-1937 | |
(970) 298-3801 | |
(970) 232-2660 |
Full Name | Intermountain Medical Group Grand Junction, Llc |
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Speciality | Family Medicine - Addiction Medicine |
Location | 2643 Patterson Rd Ste 603, Grand Junction, Colorado |
Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
Authorized Official Contact | 3032720231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intermountain Medical Group Grand Junction, Llc 500 Eldorado Blvd Ste 4300 Broomfield CO 80021-3564 Ph: (303) 272-0566 | Intermountain Medical Group Grand Junction, Llc 2643 Patterson Rd Ste 603 Grand Junction CO 81506-1937 Ph: (970) 298-3801 |
NPI Number | 1093538837 |
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Provider Enumeration Date | 10/31/2024 |
Last Update Date | 10/31/2024 |
Certification Date | 10/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093538837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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