| NPI | 1205066495 |
|---|---|
| Doing Business As | PARK CITY SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 5812009) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 5812009) |
| 208600000X Surgery (Licence: VA 2512009) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2012-02-03 |