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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMPACT PHYSICIAN GROUP, MISSOURI, LLC

Active Organization

IMPACT PHYSICIAN GROUP, MISSOURI, LLC is a Internal Medicine organization located in BRIDGETON, Missouri. NPI 1962971531 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · BRIDGETON, MO

Registration Details

NPI Number
1962971531
Provider Type
Organization
NPI Issued
Nov 13, 2018 (7.7667954110042 yrs)
Last Updated
Dec 19, 2022

Practice Information

Address
12380 DE PAUL DR
BRIDGETON, MO, 630442511
Browse MO providers · Browse ZIP 63044
Phone
3144479700
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Gastroenterology
Additional Specialty
Pulmonary Disease
Additional Specialty
Internal Medicine

Other Internal Medicine Organizations in BRIDGETON, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.