| NPI | 1194003640 |
|---|---|
| Doing Business As | RIVERTON CAMPUS SLEEP PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: UT 5992011) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-11 |