| NPI | 1225163702 |
|---|---|
| Doing Business As | BRYNER CLINIC |
| 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 19950476) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 19950476) |
| 2085B0100X Radiology, Body Imaging (Licence: UT 19950476) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-07-31 |