IMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC

BRIDGETON, MO
NPI1437858677
Entity TypeOrganization
Authorized ContactKAMRAN R QURAISHI
Owner
502-345-1561
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Enumeration Date2023-02-27
Last Update Date2023-02-27
Business Address
IMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number: 314-447-9700
Mailing Address
IMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269-1546
Phone number: 678-967-5599
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