NPI | 1225165418 |
---|---|
Doing Business As | AMERICAN FORK INTERNAL MEDICINE & DERMATOLOGY |
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 8272010) |
Additional Taxonomies | 207N00000X Dermatology (Licence: UT 8272010) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2010-10-07 |