NPI | 1033474648 |
---|---|
Doing Business As | PARK CITY CLINIC-ROUND VALLEY |
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 5902012) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2012-07-24 |