| NPI | 1255623708 |
|---|---|
| Doing Business As | PARK CITY SPECIALTY EAST |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 5832011) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 5832011) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-09 |