| NPI | 1053610196 |
|---|---|
| Doing Business As | LDS MATERNAL FETAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 5932011) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |