| NPI | 1306977798 |
|---|---|
| Doing Business As | INTERMOUNTAIN UROLOGICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountian Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 20040867) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-02-26 |