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1427878545
IMPACT PHYSICIAN GROUP, LLC
PROVO, UT
NPI
1427878545
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Entity Type
Organization
Authorized Contact
PAUL MILLER
CEO
678-967-5599
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
IMPACT PHYSICIAN GROUP, LLC
306 RIVER BEND LN
PROVO, UT 84604-5625
Phone number: 801-226-8880
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Mailing Address
IMPACT PHYSICIAN GROUP, LLC
PO BOX 744577
ATLANTA, GA 30374-4577
Phone number:
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