IMPACT PHYSICIAN GROUP, LLC

PROVO, UT
NPI1427878545
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
306 RIVER BEND LN
PROVO, UT 84604-5625
Phone number: 801-226-8880
Mailing Address
IMPACT PHYSICIAN GROUP, LLC
PO BOX 744577
ATLANTA, GA 30374-4577
Phone number: