NPI | 1508995325 |
---|---|
Doing Business As | SOUTHWEST ORTHO & SPORTS MED |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 00009840) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2016-01-18 |