| NPI | 1134254220 |
|---|---|
| Doing Business As | GORANG FAMILY PRACTICE |
| 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 71353) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 71353) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-01-21 |