NPI | 1508165648 |
---|---|
Doing Business As | AMERICAN FORK MATERNAL FETAL MEDICINE |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 8812011) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-03-15 |