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Organization
INTERCOMMUNITY MEDICAL GROUP
Active
Organization
INTERCOMMUNITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA LAMBERT (CREDENTIALING OFFICE MANAGER)
(907) 423-2510
Entity
Organization
Contact information
Practice address
1525 WEBSTER ST, STE A, FAIRFIELD, CA 94533
(907) 423-2510
(907) 425-4236
Mailing address
1525 WEBSTER ST, STE A, FAIRFIELD, CA 94533
(907) 423-2510
(907) 425-4236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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