NPI | 1356765556 |
---|---|
Doing Business As | INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC |
Other Name | ST MARY'S MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207RI0200X Internal Medicine, Infectious Disease | |
207RN0300X Internal Medicine, Nephrology | |
207T00000X Neurological Surgery | |
207V00000X Obstetrics & Gynecology | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
2080P0202X Pediatrics, Pediatric Cardiology | |
208100000X Physical Medicine & Rehabilitation | |
208200000X Plastic Surgery | |
2083X0100X Preventive Medicine, Occupational Medicine | |
2086S0120X Surgery, Pediatric Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
Enumeration Date | 2014-02-07 |
Last Update Date | 2024-06-28 |