| 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 |