| NPI | 1053189472 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH HEART & VASCULAR - EAST CROSSROADS |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance Medical Group 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-06-28 |