| NPI | 1013058395 |
|---|---|
| Doing Business As | INTERMOUNTAIN EPHRAIM 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 1195) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 1195) |
| 208600000X Surgery (Licence: UT 1195) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-07-17 |