NPI | 1396870333 |
---|---|
Doing Business As | MEDICAL TOWER FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 2368) |
Additional Taxonomies | 208800000X Urology (Licence: UT 2368) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2008-07-30 |