| NPI | 1285825059 |
|---|---|
| Doing Business As | SOUTHERN UTAH PLASTIC SURGERY & DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 3072007) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 3072007) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2013-04-30 |