| NPI | 1265727275 |
|---|---|
| Doing Business As | LDS CAMPUS SLEEP PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 5962011) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-07-27 |