| NPI | 1548398845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 06-05129) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-07-17 |