| NPI | 1386908994 |
|---|---|
| Doing Business As | HOLLADAY ALLERGY AND DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 4992012) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 4992012) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |