Integrated Medical Group
NPI #1073577482 in Pottsville, Pennsylvania
Provider Information
- NPI Number
- 1073577482
- Entity Type
- Organization
- Organization Name
- Integrated Medical Group
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Apr 13, 2006
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 48 TUNNEL RD
- Address 2
- SUITE 203
- City
- Pottsville
- State
- Pennsylvania
- ZIP Code
- 17901-3875
- Phone
- (570) 622-5455
Authorized Official
- Name
- DAVID GONZALEZ
- Title
- CREDENTIALING CONTACT
- Phone
- (570) 622-5455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Internal Medicine - Gastroenterology — Gastroenterology |
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