| NPI | 1306394929 |
|---|---|
| Doing Business As | PARK CITY MOUNTAIN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |