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 |