| NPI | 1508145111 |
|---|---|
| Doing Business As | ALTA VIEW SENIOR CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: UT 6012011) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2012-03-01 |