| NPI | 1306974670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: UT 06-05129) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-09-07 |