| NPI | 1003701962 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH CONNECT CARE - HIGH RISK CANCER PREVENTION CO |
| Doing Business As | INTERMOUNTAIN HEALTH CONNCET CARE - SPECIALTY CO |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |