| NPI | 1033240965 |
|---|---|
| Doing Business As | MCKAY DEE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: UT 1001282) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-07-31 |