NPI | 1467995860 |
---|---|
Doing Business As | INTERMOUNTAIN 2200 W WORKMED |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-12-02 |
Last Update Date | 2016-12-02 |