Intermountain Medical Group, INC
NPI #1356397673 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1356397673
- Entity Type
- Organization
- Organization Name
- Intermountain Medical Group, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 26, 2006
- Last Updated
- Jan 25, 2022
Practice Location
- Address
- 610 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3702
- Phone
- (570) 288-5441
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SENIOR DIRECTOR PROVIDER ENROLLMENT
- Phone
- (877) 892-9815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Internal Medicine |
| Obstetrics & Gynecology |
| Orthopaedic Surgery |
| Psychiatry & Neurology - Neurology — Neurology |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Surgery |
| Urology |
| General Practice |
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
| Physician Assistant - Medical — Medical |
| Nurse Practitioner |
| Family Medicine |
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