NPI | 1467582429 |
---|---|
Doing Business As | INTERMOUNTAIN RIVER ROAD INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 3311) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2008-07-30 |