NPI | 1104956150 |
---|---|
Doing Business As | FARMINGTON EXPRESSCARE |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: UT 008742) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2010-01-21 |