Impact Physician Group, LLC

Internal Medicine Physician · Parker, CO

Organization Active NPI

NPI number 1568282903

Practice location

16830 Northgate Dr Unit 130
Parker, CO 80134-5778
Phone
(720) 468-4780

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NPI record

NPI
1568282903
Entity type
Organization (Type 2)
Enumeration date
October 11, 2024
Last updated
October 11, 2024
Certified
October 11, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X — —

Mailing address

PO Box 744577
Atlanta, GA 30374-4577

Authorized official

Name
Paul Miller
Title
CEO
Phone
(678) 967-5599

About Impact Physician Group, LLC

Impact Physician Group, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 16830 Northgate Dr Unit 130, Parker, CO 80134-5778. The NPI number 1568282903 was assigned on October 11, 2024 and the record was last updated on October 11, 2024.

The authorized official for this organization is Paul Miller, CEO.

Frequently asked questions

What is the NPI number of Impact Physician Group, LLC?

The NPI number is 1568282903.

What is the phone number of Impact Physician Group, LLC?

The phone number listed for the practice location is (720) 468-4780.

Where is Impact Physician Group, LLC located?

16830 Northgate Dr Unit 130, Parker, CO 80134-5778.

What is the taxonomy code for Impact Physician Group, LLC?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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