NPI | 1023456589 |
---|---|
Doing Business As | WHITE SAGE FAMILY MEDICINE 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 2152013) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |