| NPI | 1285982108 |
|---|---|
| Doing Business As | US SYNTHETIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 2012814) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2017-01-31 |