| NPI | 1386903185 |
|---|---|
| Doing Business As | ROSE PARK ELEMENTARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-364-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 4572012) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |