| NPI | 1336307966 |
|---|---|
| Doing Business As | INTERMOUNTAIN UROLOGICAL INSTITUTE-LDS CAMPUS |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 2008504) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-07-30 |