Impact Physician Group, LLC

NPI #1215763693 in Englewood, Colorado

Provider Information

NPI Number: 1215763693
Entity Type: Organization
Organization Name: Impact Physician Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: IMPACT PHYSICIAN GROUP, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 11, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 8835 AMERICAN WAY
City: Englewood
State: Colorado
ZIP Code: 80112-7056
Phone: (720) 643-4300

Authorized Official

Name: PAUL MILLER
Title: CEO
Phone: (678) 967-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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