NPI | 1265899165 |
---|---|
Doing Business As | COTTONWOOD ENT |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2016-01-22 |
Last Update Date | 2016-01-22 |