| NPI | 1154747087 |
|---|---|
| Doing Business As | KAYSVILLE CREEKSIDE CLINIC |
| 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 4402014) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-06-09 |