| NPI | 1205963949 |
|---|---|
| Doing Business As | KIDSCARE AT MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 19960601) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-10-10 |