| NPI | 1003219486 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTHCARE FLU SHOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 770902014) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |