| NPI | 1316226921 |
|---|---|
| Doing Business As | AVENUES NEUROSURGERY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 6442011) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |