Impact Physician Group, LLC

NPI #1427878545 in Provo, Utah

Provider Information

NPI Number: 1427878545
Entity Type: Organization
Organization Name: Impact Physician Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 306 RIVER BEND LN
City: Provo
State: Utah
ZIP Code: 84604-5625
Phone: (801) 226-8880

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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