| NPI | 1245519859 |
|---|---|
| Doing Business As | INTERMOUNTAIN SENIOR CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 6002011) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2016-03-18 |