Impact Physician Group, Iowa LLC
NPI #1780281915 in Coralville, Iowa
Provider Information
- NPI Number
- 1780281915
- Entity Type
- Organization
- Organization Name
- Impact Physician Group, Iowa LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 1, 2020
- Last Updated
- Dec 19, 2022
Practice Location
- Address
- 2801 HEARTLAND DR
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241-2733
- Phone
- (319) 645-4001
Authorized Official
- Name
- PAUL MILLER
- Title
- CEO
- Phone
- (678) 967-5599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Internal Medicine |
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