Impact Physician Group, Missouri, Llc

LBN: Impact Physician Group, Missouri, Llc
Impact Physician Group, Missouri, Llc is an health care organization with primary practice located at 12380 De Paul Dr , Bridgeton MO 63044-2511. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Impact Physician Group, Missouri, Llc can be contacted via phone (314) 447-9700, or through Miller, Paul via phone (678) 967-5599.

Contact Information

Primary practice address
12380 De Paul Dr Bridgeton MO 63044-2511
Phone: (314) 447-9700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Paul
Phone: (678) 967-5599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1962971531
LBN Legal business name Impact Physician Group, Missouri, Llc
DBA Doing business as
Authorized official Miller, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2018
Last updated Dec 19th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers