| NPI | 1508651993 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH GOVERNORS RANCH CLINIC - PRIMARLY CARE |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |