| NPI | 1902804032 |
|---|---|
| Former Legal Business Name | INTERNAL MEDICINE SPECIALTY GROUP LLP |
| Entity Type | Organization |
| Authorized Contact | CORY PHILLIPS Practice Administrator 970-249-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2024-08-07 |