Organization
IMPACT PHYSICIAN GROUP, LLC
Active
Parent organization
IMPACT PHYSICIAN GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT PHYSICIAN GROUP, LLC
Authorized official
PAUL MILLER (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
8835 AMERICAN WAY, ENGLEWOOD, CO 80112-7056
(720) 643-4300
Mailing address
PO BOX 744577, ATLANTA, GA 30374-4577
(678) 967-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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