Impact Physician Group, LLC
Impact Physician Group, LLC is an Internal Medicine Physician in Provo, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
306 River Bend LnProvo, UT 84604-5625
Phone: (801) 226-8880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1427878545 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Miller — Ceo · (678) 967-5599 |
| NPI enumerated | October 14, 2024 |
| Last updated in NPPES | October 14, 2024 |
| Certification date | October 14, 2024 |
| Mailing address | Po Box 744577, Atlanta, GA 30374-4577 |
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