| 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 |