NPI | 1205293362 |
---|---|
Doing Business As | WEST VALLEY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | LINDA LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-01-20 |
Last Update Date | 2016-02-02 |