NPI | 1538526439 |
---|---|
Doing Business As | COTTONWOOD PODIATRY |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2016-01-22 |
Last Update Date | 2016-01-22 |