| NPI | 1477680270 |
|---|---|
| Doing Business As | ISOM PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-01-27 |