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1497454649
IMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC
BRIDGETON, MO
NPI
1497454649
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Entity Type
Organization
Authorized Contact
KAMRAN R QURAISHI
Owner
502-345-1561
Organization Subpart ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
IMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number: 314-447-9700
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Mailing Address
IMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269-1546
Phone number: 678-967-5599
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