| NPI | 1306888722 |
|---|---|
| Doing Business As | INTERMOUNTAIN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA C. LECKMAN CEO / Vice President 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| 207N00000X Dermatology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208800000X Urology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208200000X Plastic Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-06-08 |