NPI | 1174776348 |
---|---|
Doing Business As | AVENUES GI |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 2008IMG519) |
Enumeration Date | 2008-10-31 |
Last Update Date | 2010-01-21 |