John R Imig, M.D.
Obstetrics & Gynecology, Gynecology in Boulder, CO. Individual provider (NPI-1).
NPI number1801870530
StatusActive
Last updated in NPPESOct 31, 2012
Details
- NPI
- 1801870530
- Entity type
- Individual (NPI-1)
- Name
- John R Imig
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2005
- Last updated
- Oct 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 17514 | CO | Yes |
Practice location
4745 Arapahoe AveSuite 200
Boulder, CO 80303-1080
Phone 303-938-4710
Mailing address
4745 Arapahoe AveSuite 200
Boulder, CO 80303-1080
Phone 303-938-4710
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