IMPACT PHYSICIAN GROUP, LLC

SOUTH OGDEN, UT
NPI1366262487
Entity TypeOrganization
Authorized ContactPAUL MILLER
CEO
678-967-5599
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
IMPACT PHYSICIAN GROUP, LLC
5825 HARRISON BLVD
SOUTH OGDEN, UT 84403-4316
Phone number: 801-475-5254
Mailing Address
IMPACT PHYSICIAN GROUP, LLC
PO BOX 744577
ATLANTA, GA 30374-4577
Phone number:
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