Impact Physician Group, Indiana, Pulmonary Services LLC
NPI #1083184873 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1083184873
- Entity Type
- Organization
- Organization Name
- Impact Physician Group, Indiana, Pulmonary Services LLC
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- Dec 5, 2018
- Last Updated
- Dec 19, 2022
Practice Location
- Address
- 1700 W 10TH ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46222-3802
- Phone
- (317) 636-4400
Authorized Official
- Name
- MR. PAUL MILLER, CEO
- Title
- CEO
- Phone
- (678) 967-5599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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