| NPI | 1457671513 |
|---|---|
| Doing Business As | SOUTHWEST UROLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 2992011) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2011-02-08 |