NPI | 1154750149 |
---|---|
Doing Business As | INTERMOUNTAIN HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | BRETT SPIERS LUDDINGTON President 801-981-8795 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 4806041-1202) |
Enumeration Date | 2013-11-11 |
Last Update Date | 2014-06-24 |