Individual
JOHN R IMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4745 ARAPAHOE AVE, SUITE 200, BOULDER, CO 80303-1080
(303) 938-4710
Mailing address
4745 ARAPAHOE AVE, SUITE 200, BOULDER, CO 80303-1080
(303) 938-4710
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
17514
CO
Other
Enumeration date
12/06/2005
Last updated
10/31/2012
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