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 Clinic/Center |
Enumeration Date | 2007-02-27 |
Last Update Date | 2017-01-27 |