| NPI | 1114191517 |
|---|---|
| Doing Business As | ASPEN OB/GYN |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO/VP Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 2008833IMG) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |