NPI | 1023449733 |
---|---|
Doing Business As | PAYSON CLINIC |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: UT 8762013) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 8762013) |
Enumeration Date | 2013-12-05 |
Last Update Date | 2013-12-05 |