| NPI | 1538877667 |
|---|---|
| Former Legal Business Name | INDEPENDENT MEDICAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | STEVE VIXAMAR CEO 800-773-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-05-14 |